Active NPI
Christina Proctor
- Behavior Analyst
- Lakewood, NJ
National Provider Identifier
1467114199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-47202
- Practice address
- 172 Corbin CT
Lakewood, NJ 08701-7451 - Phone
- (732) 684-5564
- NPI assigned
- Oct 11, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-21-47202 | NJ | Primary |
Addresses
Primary practice location
172 Corbin CT
Lakewood, NJ 08701-7451
Mailing address
172 Corbin CT
Lakewood, NJ 08701-7451
Phone (732) 684-5564
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": "1633910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633910400000",
"number": "1467114199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 CORBIN CT",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087017451",
"telephone_number": "732-684-5564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 CORBIN CT",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087017451",
"telephone_number": "732-684-5564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROCTOR",
"first_name": "CHRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-11",
"last_updated": "2021-10-11",
"certification_date": "2021-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NJ",
"license": "1-21-47202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, NJ
- Prime Rehabilitation Services, Inc
- Primetime Cardi PC
- Primetime Cardio PC
- Primetime Im, PC
- Elisheva Privalsky
- Professional Physician Practitioners LLC
- Professional Speech & Occupational Therapy LLC
- Professional Speech Services LLC
- Progressive Applied Behavioral Treatment
- Progressive Steps Therapy Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.