Active NPI
Teeonna Coldcleugh, BCBA
- Behavior Analyst
- Avondale, AZ
National Provider Identifier
1053872952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BEH-001068
- Practice address
- 1585 N 113TH Ave Ste 102
Avondale, AZ 85392-3938 - Phone
- (623) 204-1701
- NPI assigned
- Mar 26, 2019
- Last updated
- Apr 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BEH-001068 | AZ | Primary |
| Behavior Technician | 106S00000X | RBT-19-80760 | NU |
Addresses
Primary practice location
1585 N 113TH Ave Ste 102
Avondale, AZ 85392-3938
Mailing address
6232 N 7TH St Ste 100
Phoenix, AZ 85014-1850
Phone (623) 693-2954
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BEH-001068 | AZ | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T.E.a.M. 4 Kids, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Occupational Therapist
- Surprise, AZ
- NPI 1386988723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1053872952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6232 N 7TH ST STE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850141850",
"telephone_number": "623-693-2954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1585 N 113TH AVE STE 102",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853923938",
"telephone_number": "623-204-1701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLDCLEUGH",
"first_name": "TEEONNA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-26",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH-001068",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": "RBT-19-80760",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avondale, AZ
- Charles C. Clausen, D.D.S.
- Clearsky Rehabilitation Hospital of West Valley, LLC (ClearSky Rehabilitation Hospital of Avondale)
- Tyler Clem
- Jennifer Cobb-Dunn
- Cory Coffey
- Coldwater Springs Healthcare, Inc. (Estrella Health and Rehabilitation Center)
- Coldwater Springs Healthcare, Inc. (Estrella Outpatient Treatment Center)
- Jeffrey Max Collins, D.D.S.
- Collision Chiropractic LLC
- Lauren Colon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.