Active NPI
Anthony Maiocco
- Behavior Analyst
- St George, UT
National Provider Identifier
1912338971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-13-14507
- Practice address
- 249 E Tabernacle St Ste 100
St George, UT 84770-2951 - Phone
- (435) 705-7574
- NPI assigned
- Dec 2, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-13-14507 | CA | Primary |
Addresses
Primary practice location
249 E Tabernacle St Ste 100
St George, UT 84770-2951
Mailing address
249 E Tabernacle St Ste 100
St George, UT 84770-2951
Phone (435) 705-7574
Other practice location 1
12443 Lewis St
Garden Grove, CA 92840-4650
Phone (714) 748-4440
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | crimsoncounseling.net |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prominent Behavioral Health | Behavior Analyst | Current | Accepting new patients |
| Crimson Heights LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Behavior Analyst
- St George, UT
- NPI 1467307892
-
- Community/Behavioral Health Agency
- St George, UT
- NPI 1457863771
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1912338971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "249 E TABERNACLE ST STE 100",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847702951",
"telephone_number": "435-705-7574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 E TABERNACLE ST STE 100",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847702951",
"telephone_number": "435-705-7574"
}
],
"practiceLocations": [
{
"address_1": "12443 Lewis St",
"address_purpose": "LOCATION",
"city": "Garden Grove",
"state": "CA",
"postal_code": "928404650",
"country_code": "US",
"telephone_number": "714-748-4440",
"fax_number": "714-748-4445",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAIOCCO",
"first_name": "ANTHONY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-02",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-13-14507",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "crimsoncounseling.net",
"affiliation": "N",
"address_1": "249 E Tabernacle St Ste 100",
"city": "St George",
"state": "UT",
"country_code": "US",
"postal_code": "847702951",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.