Active NPI
Tatiana Ingco
- Assistant Behavior Analyst
- Walnut Creek, CA
National Provider Identifier
1255810453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Practice address
- 2730 Shadelands Drive
Building 10
Walnut Creek, CA 94598 - Phone
- (925) 266-8400
- NPI assigned
- Aug 8, 2018
- Reactivated
- Sep 16, 2022
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Assistant Behavior Analyst | 106E00000X | Primary |
Addresses
Primary practice location
2730 Shadelands Drive
Building 10
Walnut Creek, CA 94598
Mailing address
2730 Shadelands Drive
Building 10
Walnut Creek, CA 94598
Phone (855) 832-6727
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tingco@teampbs.com |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Learners Therapy | Past | Accepting new patients |
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.
-
- Early Intervention Provider Agency
- Wildomar, CA
- NPI 1154818037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1255810453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 SHADELANDS DRIVE",
"address_2": "BUILDING 10",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "94598",
"telephone_number": "855-832-6727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 SHADELANDS DRIVE",
"address_2": "BUILDING 10",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "94598",
"telephone_number": "925-266-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGCO",
"first_name": "TATIANA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-08",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"deactivation_date": "2022-07-12",
"reactivation_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tingco@teampbs.com",
"affiliation": "N",
"address_1": "501 W Broadway",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921013536",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.