Individual provider Active NPI

Hailey Selburn, MA

  • Behavior Analyst
  • Carlsbad, CA
National Provider Identifier
1285388066
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
12477663 Issued in CA
Practice address
3375 Mesa Ridge Rd
Carlsbad, CA 92010-6729
Phone
(760) 916-5910
NPI assigned
Feb 9, 2022
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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 12477663 CA Primary

Addresses

Primary practice location

3375 Mesa Ridge Rd
Carlsbad, CA 92010-6729

Mailing address

4452 Highland Oaks St
Fallbrook, CA 92028-8093
Phone (760) 586-1168

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

State licenses

LicenseStateTypeSpecialty
12477663CAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Creating a Positive Environment, Inc. PastSince Feb 1, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1285388066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4452 HIGHLAND OAKS ST",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920288093",
            "telephone_number": "760-586-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 MESA RIDGE RD",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920106729",
            "telephone_number": "760-916-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELBURN",
        "first_name": "HAILEY",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "12477663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.

Verify at the official NPI Registry.