Active NPI
Cecelia Regino
- Behavior Analyst
- Tinley Park, IL
National Provider Identifier
1518508126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- R250-1169-6646
- Practice address
- 8505 183Rd St Ste D
Tinley Park, IL 60487-9353 - Phone
- (708) 864-2990
- NPI assigned
- Oct 4, 2019
- Last updated
- Oct 4, 2019
- 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 | R250-1169-6646 | IL | Primary |
Addresses
Primary practice location
8505 183Rd St Ste D
Tinley Park, IL 60487-9353
Mailing address
579 Gipp Dr
Manteno, IL 60950-3572
Phone (815) 922-6266
Other practice location 1
579 Gipp Dr
Manteno, IL 60950-3572
Phone (815) 922-6266 ext. 81592
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R250-1169-6646 | IL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1518508126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "579 GIPP DR",
"city": "MANTENO",
"state": "IL",
"postal_code": "609503572",
"telephone_number": "815-922-6266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8505 183RD ST STE D",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604879353",
"telephone_number": "708-864-2990"
}
],
"practiceLocations": [
{
"address_1": "579 Gipp Dr",
"address_purpose": "LOCATION",
"city": "Manteno",
"state": "IL",
"postal_code": "609503572",
"country_code": "US",
"telephone_number": "815-922-6266 x81592",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REGINO",
"first_name": "CECELIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-04",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "R250-1169-6646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tinley Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.