Sherylyn Panganiban

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-56762 Issued in AZ

Practice address

538 S Gilbert Rd Ste 101
Gilbert, AZ 85296-2270

Phone

(480) 482-5005

NPI assigned

Feb 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1861993230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677807",
            "telephone_number": "818-234-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 S GILBERT RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852962270",
            "telephone_number": "480-482-5005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5656 S Power Rd Unit B",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852958480",
            "country_code": "US",
            "telephone_number": "602-610-4635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANGANIBAN",
        "first_name": "SHERYLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AZ",
            "license": "RBT-16-23969",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "AZ",
            "license": "0-21-12449",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "1-21-56762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Allen Palthen, D.C.
• Amanda Catherine Paltzer, RD
• Paula Palubicki, OTR/L
• Kalpana Nikhil Pandya, DDS
• Shaunak Pandya, MD
• Mildred Manaloto Pangilinan-Flores, OTR-L
• Eva L Paniagua
• Brittany Summer Panico, DO
• Jennifer Pantoja
• Nathan Papadeas, PA-C

• Behavior Analyst in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.