Individual provider Active NPI

Cristina Patricia O'Connell, BCBA

  • Behavior Analyst
  • Costa Mesa, CA
National Provider Identifier
1730800657
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-50703 Issued in CA
Practice address
3303 Harbor Blvd Ste B10
Costa Mesa, CA 92626-1537
Phone
(714) 786-6069
Fax
(714) 391-5836
NPI assigned
Sep 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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 1-21-50703 CA Primary

Addresses

Primary practice location

3303 Harbor Blvd Ste B10
Costa Mesa, CA 92626-1537

Mailing address

3303 Harbor Blvd Ste B10
Costa Mesa, CA 92626-1537
Phone (714) 786-6069

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

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Functions, Inc CurrentSince Jun 23, 2025 Accepting new patients

Locations

3303 Harbor Blvd
Ste B10
Costa Mesa, CA 92626
Phone (714) 786-6069

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1730800657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 HARBOR BLVD STE B10",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261537",
            "telephone_number": "714-786-6069",
            "fax_number": "714-391-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 HARBOR BLVD STE B10",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261537",
            "telephone_number": "714-786-6069",
            "fax_number": "714-391-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "CRISTINA",
        "middle_name": "PATRICIA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-50703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.

Verify at the official NPI Registry.