Christian Gallo Rios, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-136812 Issued in MS

Practice address

146 S Thomas St Ste C
Tupelo, MS 38801-5328

Phone

(662) 840-0974

NPI assigned

Aug 30, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Autism Center of North Mississippi, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Tupelo, MS
  • NPI 1952662157
  NPD (past)

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1992472609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 S THOMAS ST STE C",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015328",
            "telephone_number": "662-840-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 S THOMAS ST STE C",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015328",
            "telephone_number": "662-840-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLO RIOS",
        "first_name": "CHRISTIAN",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MS",
            "license": "RBT-20-136812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Campbell Fulwiler, PHD
• Functional Therapy Center, Inc.
• Mary Gadus, FNP
• Shelley A Gaggini, DIETITIAN
• Kendal Gaines
• Brian Joseph Galloway, LPC
• Leonil A. Gan Lim, M.D.
• Anna Gann
• Wanda Kay Gann
• Lindy Ann Gantt, PCMHT, MS

• Behavior Technician in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Behavior Technician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.