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Jennifer Mangino , BCBA

Behavior Analyst β€’ Sycamore, IL

Active NPI 1649700238 Individual Practitioner Female Practitioner
Practice location in NPPES

920 W Prairie Dr
Sycamore, IL 601783123

Call 8155019616 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

920 W Prairie Dr

Sycamore, IL 601783123

Telephone 8155019616
Organization at the Same NPPES Address or Phone
Timothy Tronc Counseling & Consulting Llc Facility NPI 1649310913

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Sycamore and Illinois

6 active clinicians are listed under Behavior Analyst with a practice address in Sycamore, IL (3,085 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-03-07
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Laura Pierobon

Nurse Practitioner - Family

NPI 1174162218
NPI 1053640854

Doctor of Chiropractic

NPI 1659504306

Doctor of Chiropractic

Timothy Tronc , MSW, LCSW

Social Worker - Clinical

NPI 1245370865

Master of Social Work, Licensed Clinical Social Worker

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location March 07, 2023

Registered at 920 W PRAIRIE DR, SYCAMORE, IL 601783123 (Tel: 8155019616)

πŸ“
Updated Business Mailing Address March 07, 2023

Registered at 1763 BRICKVILLE RD, SYCAMORE, IL 601788639 (Tel: 8155011568)

πŸ‘€
Provider Name / Credentials Updated March 07, 2023

Recorded as JENNIFER MANGINO, BCBA

βœ…
NPI Profile Active June 15, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 15, 2017

Registered at 138 BERKSHIRE DR, DEKALB, IL 60115 (Tel: 8155011568)

πŸ“
Business Mailing Address (Initial Record) June 15, 2017

Registered at 138 BERKSHIRE DR, DEKALB, IL 601155215

πŸ‘€
Provider Name / Credentials (Initial Record) June 15, 2017

Recorded as JENNIFER MANGINO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2017

Behavior Analyst

🟒
Initial NPI Registration & Enumeration June 15, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1649700238
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2017
Last Update: March 07, 2023
Sole Proprietor: Yes

Mailing Address

1763 Brickville Rd

Sycamore, IL 601788639

Phone: 8155011568

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.