Individual provider Active NPI

Kirstin Hall, MS, BCBA

  • Behavior Analyst
  • San Diego, CA
National Provider Identifier
1184943425
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-09-9999 Issued in CA
Practice address
3505 Camino del Rio S Ste 200
San Diego, CA 92108-4016
Phone
(888) 616-0864
Fax
(888) 616-0864
NPI assigned
May 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-09-9999 CA Primary

Addresses

Primary practice location

3505 Camino del Rio S Ste 200
San Diego, CA 92108-4016

Mailing address

9257 Lake Murray Blvd Unit D
San Diego, CA 92119-1400
Phone (619) 871-5126

Other practice location 1

9257 Lake Murray Blvd Unit D
San Diego, CA 92119-1400
Phone (888) 616-0864 ext. 1

Other identifiers 1

IdentifierTypeStateIssuer
1-09-9999OtherBACB

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior All-Stars LLC Behavior Analyst CurrentSince Aug 1, 2021 Accepting new patients
Kirstin Hall Behavior Analyst CurrentSince Feb 14, 2021 Accepting new patients

Locations

3505 Camino del Rio S
Ste 200
San Diego, CA 92108
Phone (888) 616-0864

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1184943425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9257 LAKE MURRAY BLVD UNIT D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921191400",
            "telephone_number": "619-871-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 CAMINO DEL RIO S STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084016",
            "telephone_number": "888-616-0864",
            "fax_number": "888-616-0864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9257 Lake Murray Blvd Unit D",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921191400",
            "country_code": "US",
            "telephone_number": "888-616-0864 x1",
            "fax_number": "888-616-0864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "KIRSTIN",
        "credential": "MS, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-26",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-09-9999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-09-9999",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.