Individual provider Active NPI

Christina Riley

  • Behavior Analyst
  • Orange Park, FL
National Provider Identifier
1982077665
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1093009193
Practice address
782 Foxridge Center Dr
Orange Park, FL 32065-5776
Phone
(904) 579-3280
NPI assigned
Nov 3, 2015
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 1093009193 Primary

Addresses

Primary practice location

782 Foxridge Center Dr
Orange Park, FL 32065-5776

Mailing address

1912 Lake Forest LN
Fleming Island, FL 32003-8660

Other practice location 1

231 SE Barrington Dr
Suite 203
Oak Harbor, WA 98277-3200
Phone (360) 240-0022

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
L.E.a.P.S. and Beyond, Inc Behavior Analyst Past Accepting new patients
L.E.a.P.S and Beyond, Inc 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1982077665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 LAKE FOREST LN",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 FOXRIDGE CENTER DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320655776",
            "telephone_number": "904-579-3280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 SE Barrington Dr",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Oak Harbor",
            "state": "WA",
            "postal_code": "982773200",
            "country_code": "US",
            "telephone_number": "360-240-0022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1093009193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.