Samantha Crisologo, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-35048 Issued in CA

Practice address

3000 El Camino Real BLDG 4
Palo Alto, CA 94306-2100

Phone

(209) 406-5615

NPI assigned

Mar 13, 2018

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1699278945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 HAMILTON AVE FL 3",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 EL CAMINO REAL BLDG 4",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943062100",
            "telephone_number": "209-406-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISOLOGO",
        "first_name": "SAMANTHA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-19-35048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Crane, MD
• Matthew Wylie Cranshaw, MD
• Carmen Craven, MSN, APRN, FNP-BC
• Martha Abbott Creed, CNS
• Jennie Robertson Crews
• Patrice Siapno Crisostomo, PH.D.
• Susan Ashley Crisp, NP-C
• Brandii Chylon Criss, M.D.
• Alaina Anne Critchlow, MD
• Elizabeth Ashley Crockett-Chaney, PSYD

• Behavior Analyst in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.