Sara Grace Kish

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3877 12TH St
Riverside, CA 92501-3578

Phone

(951) 742-5044

NPI assigned

Jan 17, 2023

Sex

Female

Sole proprietor

No

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

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.

• Heredia Family Therapy, Inc

  • Marriage & Family Therapist
  • City of Industry, CA
  • NPI 1326553926
  NPD (past)

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762041600000",
    "number": "1104531847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13785 NIGHTINGALE CT",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928805513",
            "telephone_number": "951-733-9584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3877 12TH ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013578",
            "telephone_number": "951-742-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISH",
        "first_name": "SARA",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2025-11-02",
        "certification_date": "2025-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope Wanjiku Kinyanjui
• Eunice N Kinyari
• Amelia Kipkorir
• Judith Merrill Kircher, MFT
• Nathalie Kirshman, MD
• Katherine Hart Kishino, M.S.
• Nancy Daubert Kishino, OT
• Jack Bartlett Kistler, MD
• Danielle D Kitchen
• Mylie Kizler

• Behavior Technician in Riverside, CA
• Providers in Riverside, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2025; 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.