Individual provider Active NPI

Pauline Tolentino Pablo, BCBA

  • Behavior Analyst
  • Santa Clarita, CA
National Provider Identifier
1841620200
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-13-14468 Issued in CA
Practice address
25350 Magic Mountain Pkwy Ste 300
Santa Clarita, CA 91355-1356
Phone
(661) 240-9306
NPI assigned
Nov 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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 1-13-14468 CA Primary

Addresses

Primary practice location

25350 Magic Mountain Pkwy Ste 300
Santa Clarita, CA 91355-1356

Mailing address

25350 Magic Mountain Pkwy Ste 300
Santa Clarita, CA 91355-1356
Phone (661) 240-9306

Other practice location 1

6320 Canoga Ave Fl 15
Woodland Hills, CA 91367-2563
Phone (661) 240-9306

Other names 1

  • Pauline Tolentino Former 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

Practice roles

OrganizationSpecialtyStatusNew patients
Symphony Behavioral Health Inc. Behavior Analyst Past Accepting new patients

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": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1841620200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25350 MAGIC MOUNTAIN PKWY STE 300",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913551356",
            "telephone_number": "661-240-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25350 MAGIC MOUNTAIN PKWY STE 300",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913551356",
            "telephone_number": "661-240-9306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6320 Canoga Ave Fl 15",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913672563",
            "country_code": "US",
            "telephone_number": "661-240-9306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PABLO",
        "first_name": "PAULINE",
        "middle_name": "TOLENTINO",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-22",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-13-14468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULINE",
            "last_name": "TOLENTINO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.