Kazaria Ackerman
Individual provider Active NPI Behavior Technician · Ontario, CA
NPI 1093698532 · NPPES record last updated Jul 30, 2025
Key facts
- NPI
- 1093698532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3190 Shelby St Ste B
Ontario, CA 91764-6563 - Phone
- (909) 451-7861
- NPI assigned
- Jul 30, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Frontiers, LLC | Current |
Accepting new patients |
Locations
100 N Pacific Coast Hwy
Ste 1400
El Segundo, CA 90245
Phone (310) 304-0532
3190 Shelby St
Ste B
Ontario, CA 91764
Phone (909) 451-7861
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
3190 Shelby St Ste B
Ontario, CA 91764-6563
Mailing address
100 N Pacific Coast Hwy Ste 1400
El Segundo, CA 90245-5602
Phone (951) 357-6926
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All providers in Ontario, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.