Christina Juana Pantle, PROVIDER

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

206078700 Issued in WY

Practice address

406 Twin Ridge Ave
Evanston, WY 82930-4944

Phone

(307) 679-6961

NPI assigned

Sep 28, 2026

Last updated

Sep 28, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1457264566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 TWIN RIDGE AVE",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829304944",
            "telephone_number": "307-679-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 TWIN RIDGE AVE",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829304944",
            "telephone_number": "307-679-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTLE",
        "first_name": "CHRISTINA",
        "middle_name": "JUANA",
        "name_prefix": "Mrs.",
        "credential": "PROVIDER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "WY",
            "license": "206078700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Evanston, WY
• Providers in Evanston, WY by specialty
• Developmentally Disabled Services Day Training Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.