Active NPI
Victoria Rosales
- Behavior Analyst
- West Columbia, SC
National Provider Identifier
1699224345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-36535
- Practice address
- 3410 Sunset Blvd
West Columbia, SC 29169-3042 - Phone
- (864) 757-9918
- Fax
- (864) 757-9921
- NPI assigned
- Sep 22, 2016
- 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 | 1-19-36535 | SC | Primary |
Addresses
Primary practice location
3410 Sunset Blvd
West Columbia, SC 29169-3042
Mailing address
219 Gerald Dr
Simpsonville, SC 29681-4111
Phone (864) 757-9918
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BA1346 | Medicaid | SC |
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": "1474502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648771200000",
"number": "1699224345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 GERALD DR",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296814111",
"telephone_number": "864-757-9918",
"fax_number": "864-757-9921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3410 SUNSET BLVD",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291693042",
"telephone_number": "864-757-9918",
"fax_number": "864-757-9921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSALES",
"first_name": "VICTORIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-22",
"last_updated": "2022-04-01",
"certification_date": "2022-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "SC",
"license": "1-19-36535",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "BA1346",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.