Individual provider Active NPI

Kelly A Schuknecht, M.A., B.C.B.A.

  • Behavior Analyst
  • Riverside, CA
National Provider Identifier
1225484439
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-15-18027 Issued in CA
Practice address
961 Saltcoats Dr
Riverside, CA 92508-6095
Phone
(951) 227-2207
NPI assigned
May 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

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 1-15-18027 CA Primary

Addresses

Primary practice location

961 Saltcoats Dr
Riverside, CA 92508-6095

Mailing address

961 Saltcoats Dr
Riverside, CA 92508-6095
Phone (951) 227-2207

Other names 1

  • Kelly A Maletta Former name

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 Arts

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1225484439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 SALTCOATS DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925086095",
            "telephone_number": "951-227-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 SALTCOATS DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925086095",
            "telephone_number": "951-227-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUKNECHT",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "M.A., B.C.B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-15-18027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MALETTA",
            "middle_name": "A",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.