Roxanne Michel Bristol, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA139 Issued in HI

Practice address

94-820 Lumiauau St Apt D101
Waipahu, HI 96797-6801

Phone

(714) 213-9271

NPI assigned

Jul 19, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Roxanne Michel Regala Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Island Behavioral Health LLC

  • Behavior Analyst
  • Kapolei, HI
  • NPI 1609370196
  NPD (past)

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1144673625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-820 LUMIAUAU ST",
            "address_2": "APT D101",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974859",
            "telephone_number": "714-213-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-820 LUMIAUAU ST APT D101",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967976801",
            "telephone_number": "714-213-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISTOL",
        "first_name": "ROXANNE",
        "middle_name": "MICHEL",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "BA139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROXANNE",
            "last_name": "REGALA",
            "middle_name": "MICHEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Behavior Analyst in Waipahu, HI
• Providers in Waipahu, HI by specialty
• Behavior Analyst in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.