Christina Maria Agosto
Individual provider Active NPI Behavior Technician · Sanford, NC
NPI 1124849948 · NPPES record last updated Oct 23, 2024
Key facts
- NPI
- 1124849948
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 1699427757 (NC)
- Practice address
- 89 Lakewind CT
Sanford, NC 27332-0612 - Phone
- (919) 601-4785
- Fax
- (910) 356-9466
- NPI assigned
- Oct 23, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1699427757 | NC | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proud Achievements ABA LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NC | ||
| Behavior Technician | 106S00000X | 1699427757 | NC | Yes |
Addresses
Primary practice location
89 Lakewind CT
Sanford, NC 27332-0612
Mailing address
89 Lakewind CT
Sanford, NC 27332-0612
Phone (919) 601-4785
Other providers in Sanford, NC
- Tovey Ader-Olson
- Ashley H Aderhold
- Paula Adkins
- Advance Behavioral Center, Inc.
- Susan Agostine
- Michael Agyei-Minta
- Jun Ahn
- Laurie Anne Ajan
- Ajay K Ajmani MD PA
- Ajay K Ajmani
All providers in Sanford, NC · Behavior Technician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.