Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nelly Amanda Mardiros

Individual provider Behavior Technician · NPI 1336702844

Nelly Amanda Mardiros is a Behavior Technician in Van Nuys, California. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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Practice location Address checks out

14515 Hamlin St Ste 102
Van Nuys, CA 91411-1694
Phone: (818) 989-7475
Fax: (844) 623-5985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1336702844
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 19, 2019
Last updated in NPPESAugust 17, 2021
Certification dateAugust 17, 2021

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