Active NPI
David Mynchenberg
- Behavior Analyst
- Macedonia, OH
National Provider Identifier
1902473903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-49254
- Practice address
- 8536 Crow Dr Ste 240
Macedonia, OH 44056-1986 - Phone
- (330) 888-9596
- NPI assigned
- Jun 8, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-21-49254 | OH | Primary |
Addresses
Primary practice location
8536 Crow Dr Ste 240
Macedonia, OH 44056-1986
Mailing address
169 Avondale Dr
Akron, OH 44313-7750
Phone (216) 956-6250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1902473903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 AVONDALE DR",
"city": "AKRON",
"state": "OH",
"postal_code": "443137750",
"telephone_number": "216-956-6250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8536 CROW DR STE 240",
"city": "MACEDONIA",
"state": "OH",
"postal_code": "440561986",
"telephone_number": "330-888-9596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYNCHENBERG",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-08",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OH",
"license": "1-21-49254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macedonia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.