Active NPI
Christine Enriquez, M.S., BCBA
- Behavior Analyst
- Killeen, TX
National Provider Identifier
1205295656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-17-26493
- Practice address
- 1200 E Stan Schlueter Loop
Killeen, TX 76542-5481 - Phone
- (845) 325-9552
- NPI assigned
- Feb 14, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | |||
| Behavior Analyst | 103K00000X | 1-17-26493 | Primary |
Addresses
Primary practice location
1200 E Stan Schlueter Loop
Killeen, TX 76542-5481
Mailing address
15 Laroc Rd
Chester, NY 10918-4512
Phone (845) 325-9552
Other practice location 1
4501 Mattie Dr Apt B
Killeen, TX 76549-4464
Phone (845) 325-9552
Other names 1
- Christine Sullivan
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 Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1205295656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 LAROC RD",
"city": "CHESTER",
"state": "NY",
"postal_code": "109184512",
"telephone_number": "845-325-9552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E STAN SCHLUETER LOOP",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765425481",
"telephone_number": "845-325-9552"
}
],
"practiceLocations": [
{
"address_1": "4501 Mattie Dr Apt B",
"address_purpose": "LOCATION",
"city": "Killeen",
"state": "TX",
"postal_code": "765494464",
"country_code": "US",
"telephone_number": "845-325-9552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENRIQUEZ",
"first_name": "CHRISTINE",
"credential": "M.S., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-17-26493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "SULLIVAN",
"credential": "B.A., RBT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.