Kelly Marie Kratzer, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-08-4144 Issued in CA

Practice address

19725 Sherman Way Ste 380
Winnetka, CA 91306-3661

Phone

(310) 247-8712

NPI assigned

Jul 12, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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 Frontiers, LLC

  • Behavior Analyst
  • Gardena, CA
  • NPI 1245539394
  NPD (past)

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1306134226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17726 ALONZO PL STE 408",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164319",
            "telephone_number": "310-570-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19725 SHERMAN WAY STE 380",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913063661",
            "telephone_number": "310-247-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRATZER",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "83997",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-08-4144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kla Hospice, Inc
• Steve Anton Klein, MARRIAGE AND FAMILY
• Liat Klopfer, PHARMD
• Kool Living Inc.
• Kool Living, Inc.
• Kumar Lifecare Hospice Inc
• Las Pride Medical Supply Corp
• Cynthia Latson
• Laws Medical Distributors Inc
• Monica Won Lee

• Behavior Analyst in Winnetka, CA
• Providers in Winnetka, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.