Active NPI
Christina Panteloglow, BCBA, LBA
- Behavior Analyst
- Phoenix, AZ
National Provider Identifier
1962905414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-57666
- Practice address
- 2 N Central Ave Ste 1800
Phoenix, AZ 85004-2139 - Phone
- (602) 807-5678
- NPI assigned
- Mar 12, 2018
- Last updated
- Nov 23, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 1-22-57666 | CA | Primary |
Addresses
Primary practice location
2 N Central Ave Ste 1800
Phoenix, AZ 85004-2139
Mailing address
3620 Spenceville Rd
Wheatland, CA 95692-9754
Phone (916) 581-3652
Other practice location 1
3620 Spenceville Rd
Wheatland, CA 95692-9754
Phone (916) 581-3652
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 |
|---|---|---|---|
| Rad ABA LLC | Current | Accepting new patients | |
| Rad ABA LLC | Behavior Analyst | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Early Intervention Provider Agency
- Wheatland, CA
- NPI 1306573555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669161600000",
"number": "1962905414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3620 SPENCEVILLE RD",
"city": "WHEATLAND",
"state": "CA",
"postal_code": "956929754",
"telephone_number": "916-581-3652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 N CENTRAL AVE STE 1800",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850042139",
"telephone_number": "602-807-5678"
}
],
"practiceLocations": [
{
"address_1": "3620 Spenceville Rd",
"address_purpose": "LOCATION",
"city": "Wheatland",
"state": "CA",
"postal_code": "956929754",
"country_code": "US",
"telephone_number": "916-581-3652",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANTELOGLOW",
"first_name": "CHRISTINA",
"name_prefix": "Ms.",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-12",
"last_updated": "2022-11-23",
"certification_date": "2022-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-22-57666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.