Individual provider Active NPI

Alexandra Koroleva-Regalado, M. ED.

  • Behavior Analyst
  • Hoffman Estates, IL
National Provider Identifier
1710129440
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-12-10534 Issued in IL
Practice address
1495 Jefferson Rd
Hoffman Estates, IL 60169-3516
Phone
(847) 387-7342
NPI assigned
Mar 26, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-12-10534 IL Primary

Addresses

Primary practice location

1495 Jefferson Rd
Hoffman Estates, IL 60169-3516

Mailing address

1495 Jefferson Rd
Hoffman Estates, IL 60169-3516
Phone (847) 387-7342

Other identifiers 1

IdentifierTypeStateIssuer
AK90310610POtherILDEPARTMENT OF HUMAN SERVICES PART C

Other names 1

  • Sasha Koroleva-Regalado Other name

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
Credentials
Master of Education

NPI Registry JSON

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1710129440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 JEFFERSON RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601693516",
            "telephone_number": "847-387-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 JEFFERSON RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601693516",
            "telephone_number": "847-387-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOROLEVA-REGALADO",
        "first_name": "ALEXANDRA",
        "credential": "M. ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-26",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-12-10534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HUMAN SERVICES PART C",
            "identifier": "AK90310610P",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SASHA",
            "last_name": "KOROLEVA-REGALADO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.