Active NPI
Kristen Amanda Walstrom, M.A., BCBA
- Behavior Analyst
- Salinas, CA
National Provider Identifier
1265734230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-06-2877
- Practice address
- 911 Blanco Cir
Salinas, CA 93901-4449 - Phone
- (831) 540-3491
- Fax
- (831) 998-7682
- NPI assigned
- Nov 24, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Analyst | 103K00000X | 1-06-2877 | Primary |
Addresses
Primary practice location
911 Blanco Cir
Salinas, CA 93901-4449
Mailing address
16707 Marcus St
Eagle River, AK 99577-7617
Phone (907) 854-5889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-06-2877 | Other | BOARD CERTIFIED BEHAVIOR ANALYST (BCBA) |
Other names 1
- Kristen Amanda Spencer
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Applied Inc | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Salinas, CA
- NPI 1033661152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1265734230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16707 MARCUS ST",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995777617",
"telephone_number": "907-854-5889",
"fax_number": "907-696-9913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 BLANCO CIR",
"city": "SALINAS",
"state": "CA",
"postal_code": "939014449",
"telephone_number": "831-540-3491",
"fax_number": "831-998-7682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSTROM",
"first_name": "KRISTEN",
"middle_name": "AMANDA",
"name_prefix": "Mrs.",
"credential": "M.A., BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-24",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-06-2877",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD CERTIFIED BEHAVIOR ANALYST (BCBA)",
"identifier": "1-06-2877",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "SPENCER",
"middle_name": "AMANDA",
"credential": "MA, BCBA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Salinas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.