Carolina Christine Padilla

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-42022 Issued in FL

Practice address

1887 Richmond Ave Ste 5
Staten Island, NY 10314-3923

Phone

(718) 698-1300

NPI assigned

Dec 29, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609545600000",
    "number": "1023525078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10910 CAMERON CT APT 101",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244165",
            "telephone_number": "786-405-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 RICHMOND AVE STE 5",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143923",
            "telephone_number": "718-698-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Fairway Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334411817",
            "country_code": "US",
            "telephone_number": "888-880-9270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "CAROLINA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-29",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-20-42022",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1417364787",
            "identifier": "46-4295619",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Paciello
• Pacifico Plastic Surgery Medical PLLC
• Inderbir Singh Padda, M.D.
• Coleen Paderon
• Jose Arnoldo Buendia Paderon, O.T.
• Jocelyn Padilla, NP
• Annette Yolanda Padmore, OT
• Alexis Padovano, CASAC
• Kenneth Padron, LCSW
• Annette Pagan, R.PH.

• Behavior Analyst in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.

Verify at the official NPI Registry.