Active NPI
Khrystle Montallana
- Behavior Analyst
- Torrance, CA
National Provider Identifier
1114350873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 11314013
- Practice address
- 21151 S Western Ave
Suite 246
Torrance, CA 90501-1724 - Phone
- (866) 522-4145
- NPI assigned
- Aug 17, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 11314013 | CA | Primary |
Addresses
Primary practice location
21151 S Western Ave
Suite 246
Torrance, CA 90501-1724
Mailing address
29511 Dana CT
Canyon Country, CA 91387-7102
Phone (213) 505-2348
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11314013 | CA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376697600000",
"number": "1114350873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29511 DANA CT",
"city": "CANYON COUNTRY",
"state": "CA",
"postal_code": "913877102",
"telephone_number": "213-505-2348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21151 S WESTERN AVE",
"address_2": "SUITE 246",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905011724",
"telephone_number": "866-522-4145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTALLANA",
"first_name": "KHRYSTLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-17",
"last_updated": "2013-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "11314013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.