Active NPI
Bonnie Jo Igielski, BCBA
- Behavior Analyst
- Milton, FL
National Provider Identifier
1679080782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-33040
- Practice address
- 5215 Dogwood Dr
Milton, FL 32570-5708 - Phone
- (850) 270-0640
- NPI assigned
- Jan 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 1-18-33040 | Primary |
Addresses
Primary practice location
5215 Dogwood Dr
Milton, FL 32570-5708
Mailing address
3357 Wellington Rd
Pensacola, FL 32504-7469
Phone (610) 506-3141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871917005 | Medicaid | FL |
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": "1515542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545955200000",
"number": "1679080782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3357 WELLINGTON RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325047469",
"telephone_number": "610-506-3141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5215 DOGWOOD DR",
"city": "MILTON",
"state": "FL",
"postal_code": "325705708",
"telephone_number": "850-270-0640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGIELSKI",
"first_name": "BONNIE",
"middle_name": "JO",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-10",
"last_updated": "2018-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-18-33040",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1871917005",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.