Individual provider Active NPI

Christina Gingras Sirico, BCBA

  • Behavior Analyst
  • Palm Harbor, FL
National Provider Identifier
1235425166
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-05-2519 Issued in FL
Practice address
2424 Beacon Groves Blvd
Palm Harbor, FL 34683-3303
Phone
(727) 421-6041
NPI assigned
Jun 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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 1-05-2519 FL Primary

Addresses

Primary practice location

2424 Beacon Groves Blvd
Palm Harbor, FL 34683-3303

Mailing address

2424 Beacon Groves Blvd
Palm Harbor, FL 34683-3303
Phone (727) 421-6041

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

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1235425166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 BEACON GROVES BLVD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346833303",
            "telephone_number": "727-421-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 BEACON GROVES BLVD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346833303",
            "telephone_number": "727-421-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRICO",
        "first_name": "CHRISTINA",
        "middle_name": "GINGRAS",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-05-2519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.