Kristine Taylor Brady, M.ED., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

11520128 Issued in CA

Practice address

2447 Pacific Coast Hwy
Suite 111
Hermosa Beach, CA 90254-2714

Phone

(424) 672-6700

Fax

(424) 672-6819

NPI assigned

Oct 13, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1326419672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2447 PACIFIC COAST HWY",
            "address_2": "SUITE 111",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542714",
            "telephone_number": "424-672-6700",
            "fax_number": "424-672-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2447 PACIFIC COAST HWY",
            "address_2": "SUITE 111",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542714",
            "telephone_number": "424-672-6700",
            "fax_number": "424-672-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "KRISTINE",
        "middle_name": "TAYLOR",
        "credential": "M.ED., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "11520128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Bordener, DDS
• Cassandra L Bowles, PSYD
• Ashley Lauren Boyer, SLP
• BR Lab and Radiology
• Tristen Scott Bracken
• Chad David Brinderson, PH.D.
• Laura Alongi Brinderson, LCSW
• Linda E. Brochert-Saker, M.F.T.
• Diana Helena Brogden
• Allison Brown, RN

• Behavior Analyst in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.