Individual provider Active NPI

Kristoffer Witowich

  • Behavior Analyst
  • La Mirada, CA
National Provider Identifier
1215893359
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
16063 Avenida San Miguel
La Mirada, CA 90638-3442
Phone
(562) 896-5110
NPI assigned
Jan 2, 2026
Last updated
Jan 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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 NU Primary

Addresses

Primary practice location

16063 Avenida San Miguel
La Mirada, CA 90638-3442

Mailing address

16063 Avenida San Miguel
La Mirada, CA 90638-3442
Phone (562) 896-5110

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

NPI Registry JSON

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

{
    "created_epoch": "1767312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1215893359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16063 AVENIDA SAN MIGUEL",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906383442",
            "telephone_number": "562-896-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16063 AVENIDA SAN MIGUEL",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906383442",
            "telephone_number": "562-896-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITOWICH",
        "first_name": "KRISTOFFER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-02",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mirada, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; 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.