Individual provider Active NPI

Christina Marie Pellegrino-Stafford, M.ED., BCBA

  • Behavior Analyst
  • Philadelphia, PA
National Provider Identifier
1134476922
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
7901 Henry Ave
D108
Philadelphia, PA 19128-3060
Phone
(570) 650-0747
NPI assigned
Aug 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

7901 Henry Ave
D108
Philadelphia, PA 19128-3060

Mailing address

7901 Henry Ave
D108
Philadelphia, PA 19128-3060

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
Credentials
Master of Education

NPI Registry JSON

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1134476922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 HENRY AVE",
            "address_2": "D108",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191283060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 HENRY AVE",
            "address_2": "D108",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191283060",
            "telephone_number": "570-650-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGRINO-STAFFORD",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "M.ED., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.