Carol Leanore Cirigo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

24593 Monterey Ave Unit a
San Bernardino, CA 92410-4902

Phone

(562) 366-6223

NPI assigned

Aug 17, 2021

Sex

Female

Sole proprietor

No

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, last updated by the provider on Aug 17, 2021.

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1841966181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24593 MONTEREY AVE UNIT A",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924104902",
            "telephone_number": "562-366-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24593 MONTEREY AVE UNIT A",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924104902",
            "telephone_number": "562-366-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRIGO",
        "first_name": "CAROL",
        "middle_name": "LEANORE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in San Bernardino, CA
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.