Individual provider Active NPI

Crystal Toche, BCBA

  • Behavior Analyst
  • Greensboro, NC
National Provider Identifier
1134877608
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
190068 Issued in MS
Practice address
4160 Piedmont Pkwy Ste 207
Greensboro, NC 27410-8174
Phone
(336) 645-6733
Fax
(336) 645-7051
NPI assigned
Mar 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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 190068 MS Primary

Addresses

Primary practice location

4160 Piedmont Pkwy Ste 207
Greensboro, NC 27410-8174

Mailing address

5202 Olde Forest Dr
Greensboro, NC 27406-8763
Phone (336) 645-6733

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

LicenseStateTypeSpecialty
190068MSMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise ABA & Autism Services, L.L.C Behavior Analyst CurrentSince Mar 20, 2022 Accepting new patients

Locations

4160 Piedmont Pkwy
Ste 207
Greensboro, NC 27410
Phone (336) 645-6733

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1134877608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 OLDE FOREST DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274068763",
            "telephone_number": "336-645-6733",
            "fax_number": "336-645-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 PIEDMONT PKWY STE 207",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274108174",
            "telephone_number": "336-645-6733",
            "fax_number": "336-645-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOCHE",
        "first_name": "CRYSTAL",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MS",
            "license": "190068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.