Individual provider Active NPI

Lisa Keslin

  • Behavior Analyst
  • Salinas, CA
National Provider Identifier
1336441450
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1084765 Issued in CA
Practice address
915 Blanco Cir # C
Salinas, CA 93901-4450
Phone
(831) 540-3491
Fax
(831) 998-7682
NPI assigned
Nov 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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 1084765 CA Primary

Addresses

Primary practice location

915 Blanco Cir # C
Salinas, CA 93901-4450

Mailing address

1520 Parkmoor Ave Ste a
San Jose, CA 95128-2422

Other practice location 1

1520 Parkmoor Ave Ste A
San Jose, CA 95128-2422
Phone (408) 241-9911

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

State licenses

LicenseStateTypeSpecialty
1084765CAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Life Applied Inc Behavior Analyst PastSince May 31, 2020 Accepting new patients
I Can Too Learning Center, Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1336441450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 PARKMOOR AVE STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 BLANCO CIR # C",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014450",
            "telephone_number": "831-540-3491",
            "fax_number": "831-998-7682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 Parkmoor Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951282422",
            "country_code": "US",
            "telephone_number": "408-241-9911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KESLIN",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1084765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 29, 2020; 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.