Individual provider Active NPI

Krista Abendroth, RBT

  • Behavior Technician
  • Walnut Creek, CA
National Provider Identifier
1346735289
Registry record updated Jun 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
18-49296 Issued in CA
Practice address
3075 Citrus Cir Ste 240
Walnut Creek, CA 94598-2667
Phone
(925) 256-1100
Fax
(925) 256-1122
NPI assigned
Jun 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 18-49296 CA Primary

Addresses

Primary practice location

3075 Citrus Cir Ste 240
Walnut Creek, CA 94598-2667

Mailing address

3075 Citrus Cir Ste 240
Walnut Creek, CA 94598-2667
Phone (925) 256-1100

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

NPI Registry JSON

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

{
    "created_epoch": "1529712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529712000000",
    "number": "1346735289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 CITRUS CIR STE 240",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982667",
            "telephone_number": "925-256-1100",
            "fax_number": "925-256-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 CITRUS CIR STE 240",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982667",
            "telephone_number": "925-256-1100",
            "fax_number": "925-256-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABENDROTH",
        "first_name": "KRISTA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-23",
        "last_updated": "2018-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "18-49296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2018; 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.