Kassondra Paige Quaglino

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-55275 Issued in CA

Practice address

648 Trouville Ave
Grover Beach, CA 93433

Phone

(805) 710-8510

NPI assigned

Jul 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Holdsambeck and Associates

  • Behavior Analyst
  • Santa Maria, CA
  • NPI 1417346990
  NPD (past)
• Holdsambeck and Associates, Inc.

  • Community/Behavioral Health Agency
  • Santa Maria, CA
  • NPI 1073817474

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1093448771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 PRICE ST # 348",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492529",
            "telephone_number": "805-710-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 TROUVILLE AVE",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "93433",
            "telephone_number": "805-710-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAGLINO",
        "first_name": "KASSONDRA",
        "middle_name": "PAIGE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-55275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Playpath Therapy
• Naomie Plyler
• Natalie Plyler
• Patricia A Power, L.AC.
• Alan D Prince, OTR/L
• Matthew Quijano, AT
• Anne Radkey
• Raul D Perez DDS, Inc.
• Rebecca Pittenger PHD
• Xin Ren, RN

• Behavior Analyst in Grover Beach, CA
• Providers in Grover Beach, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.