Active NPI
Christina Lynne McReynolds, BCBA
- Behavior Analyst
- Costa Mesa, CA
National Provider Identifier
1104167766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1084445
- Practice address
- 3152 Red Hill Ave
Ste # 100
Costa Mesa, CA 92626-3418 - Phone
- (949) 338-7314
- NPI assigned
- Mar 7, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1084445 | CA | Primary |
Addresses
Primary practice location
3152 Red Hill Ave
Ste # 100
Costa Mesa, CA 92626-3418
Mailing address
3152 Redhill Ave,
Ste #
Costa Mesa, OR 92660
Phone (949) 338-7314
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 |
|---|---|---|---|
| 1084445 | CA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Solutions for Autism, Inc. | Behavior Analyst | Past | Accepting new patients |
| Creative Solutions for Autism | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Costa Mesa, CA
- NPI 1790029262
Behavior Analyst
-
- Behavior Analyst
- Costa Mesa, CA
- NPI 1851672554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362614400000",
"number": "1104167766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3152 REDHILL AVE,",
"address_2": "STE #",
"city": "COSTA MESA",
"state": "OR",
"postal_code": "92660",
"telephone_number": "949-338-7314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3152 RED HILL AVE",
"address_2": "STE # 100",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926263418",
"telephone_number": "949-338-7314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCREYNOLDS",
"first_name": "CHRISTINA",
"middle_name": "LYNNE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-07",
"last_updated": "2013-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1084445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.