CEDRIC CRISOLO M.A., BCBA
NPI 1053644013
Behavior Analyst in Encino, CA
NPI Status: Active since September 09, 2009
Contact Information
17609 VENTURA BLVD
ST. 215
ENCINO, CA
ZIP 91316
Phone: (818) 501-8352
Fax: (818) 501-8325
- Individual
- Male
- Behavior Analyst
About CEDRIC CRISOLO
This page provides the complete NPI Profile along with additional information for Cedric Crisolo, a provider established in Encino, California with a medical specialization in Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1053644013 assigned on September 2009. The practitioner's primary taxonomy code is 103K00000X with license number 11314656 (CA). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1053644013
- Provider Name
- CEDRIC CRISOLO M.A., BCBA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 17609 VENTURA BLVD ST. 215 ENCINO, CA 91316
- Location Phone
- (818) 501-8352
- Location Fax
- (818) 501-8325
- Mailing Address
- 17609 VENTURA BLVD ST. 215 ENCINO, CA 91316
- Mailing Phone
- (818) 414-9211
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-09-2009
- Last Update Date
- 11-22-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Behavior Analyst
- Taxonomy Code
- 103K00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 11314656
- License State
- CA
- Taxonomy Description
- A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7068 | MEDICAID (05) | CA | |
| 7420 | MEDICAID (05) | CA |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 5 | 3 | 6 | 4 | 4 | 0 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 10 | 3 | 12 | 4 | 8 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 0 + 3 + 1 + 2 + 4 + 8 + 0 + 2 + 24 = 47 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 47 = 3 | 3 | ||||||||
The NPI number 1053644013 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1750429643 | DR. GLENNA PATRISE TOLBERT MD Individual | Physical Medicine & Rehabilitation | 17609 VENTURA BLVD STE 114 ENCINO, CA 91316 (818) 784-7197 |
| 1659529899 | GLENNA TOLBERT MD A MEDICAL CORP Organization | Physical Medicine & Rehabilitation | 17609 VENTURA BLVD SUITE 114 ENCINO, CA 91316 (818) 784-7197 |
| 1679891352 | DR. RISA DAWN AWERKAMP PT, DPT Individual | Physical Therapist | 17609 VENTURA BLVD SUITE #215 ENCINO, CA 91316 (818) 501-8352 |
| 1912225699 | MRS. ALIDA CELESTE BARNES MS, CCC-SLP Individual | Speech-Language Pathologist | 17609 VENTURA BLVD SUITE 215 ENCINO, CA 91316 (818) 530-5145 |
| 1952629560 | MICHELLE COHEN PT, DPT Individual | Physical Therapist | 17609 VENTURA BLVD SUITE 215 ENCINO, CA 91316 (818) 530-5156 |
| 1801114251 | GEINA HABIB M.S. CF-SLP Individual | Speech-Language Pathologist | 17609 VENTURA BLVD ENCINO, CA 91316 (818) 530-5142 |
| 1942528393 | MISS JAZMIN TREADWAY Individual | Occupational Therapist | 17609 VENTURA BLVD ENCINO, CA 91316 (818) 530-5157 |
| 1285952432 | MELISSA HAGAR Individual | Speech-Language Pathologist | 17609 VENTURA BLVD 215 ENCINO, CA 91316 (818) 501-8352 |
| 1699094219 | ELINOR AHL Individual | Speech-Language Pathologist | 17609 VENTURA BLVD ENCINO, CA 91316 (818) 530-5167 |
| 1841519816 | MRS. NIKKI MARIE MCRORY MA, CCC-SLP, BCBA Individual | Speech-Language Pathologist | 17609 VENTURA BLVD SUITE 215 ENCINO, CA 91316 (818) 501-8352 |
| 1457643652 | MCRORY PEDIATRIC SERVICES Organization | Behavior Analyst | 17609 VENTURA BLVD SUITE # 215 ENCINO, CA 91316 (818) 501-8352 |
| 1306138201 | MISS ROXANNE S ABRAMS OTR/L Individual | Occupational Therapist | 17609 VENTURA BLVD STE. 215 ENCINO, CA 91316 (818) 530-5157 |
| 1285926188 | MS. MELISSA D DRACHAND M.A. OTR/L Individual | Occupational Therapist | 17609 VENTURA BLVD ENCINO, CA 91316 (818) 530-5148 |
| 1134407927 | MICAELA SULHAM M.S. Individual | Speech-Language Pathologist | 17609 VENTURA BLVD 215 ENCINO, CA 91316 (818) 530-5147 |
| 1417235300 | MRS. CHRISTINE LORENE ROG MS Individual | Specialist/Technologist | 17609 VENTURA BLVD SUITE #215 ENCINO, CA 91316 (818) 501-8352 |
| 1376825257 | ERIN MARISA STANFORD MA, OTR/L Individual | Occupational Therapist (Pediatrics) | 17609 VENTURA BLVD SUITE #215 ENCINO, CA 91316 (818) 530-7971 |
| 1356628002 | GLENNA TOLBERT, MD, A MEDICAL CORPORATION Organization | Non-Pharmacy Dispensing Site | 17609 VENTURA BLVD SUITE 114 ENCINO, CA 91316 (818) 784-7197 |
| 1033484761 | MS. DONNA ZAIDENBERG ATC, MS Individual | Specialist/Technologist (Athletic Trainer) | 17609 VENTURA BLVD 106B ENCINO, CA 91316 (818) 687-0715 |
| 1366701542 | MCRORY PEDIATRIC SERVICES Organization | Speech-Language Pathologist | 17609 VENTURA BLVD 215 ENCINO, CA 91316 (818) 501-8352 |
| 1326300351 | MS. LEEANN MARIE GAN COTA/L Individual | Occupational Therapy Assistant | 17609 VENTURA BLVD SUITE #215 ENCINO, CA 91316 (818) 530-5116 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053644013, enumerated in the NPI registry as an "individual" on September 09, 2009
The provider is located at 17609 Ventura Blvd St. 215 Encino, Ca 91316 and the phone number is (818) 501-8352
The provider's speciality is Behavior Analyst with taxonomy code 103K00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 09, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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