Nicole Balistrieri

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BEH-001011 Issued in AZ

Practice address

5025 E Washington St
Phoenix, AZ 85034-7437

Phone

(602) 773-5773

NPI assigned

Jul 18, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arizona Autism United, Inc.

  • Behavior Analyst
  • Mesa, AZ
  • NPI 1750913364
  NPD (past)
• Arizona Autism United, Inc.

  • Behavior Analyst
  • Phoenix, AZ
  • NPI 1760621379
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1013493535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 E MUIRWOOD DR STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487693",
            "telephone_number": "480-610-6981",
            "fax_number": "480-898-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 E WASHINGTON ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850347437",
            "telephone_number": "602-773-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALISTRIERI",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BEH-001011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talya Baldwin
• Stefanny Balestracci, MA, LAC
• Kathryn Mary Balgeman, PT, DPT, CLT
• Bailey Ann Balinski, DO
• Lonni Balisky, DDS
• Othniel S Balizou, MD
• Heather Balk, PHARMD
• Kimberly M Balk, MD
• Anthony Henry Ball, RPH
• Clifford R Ball, MD

• Behavior Analyst in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.