Andrea Klichan

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

17752 Sky Park Cir
Irvine, CA 92614-6419

Phone

(949) 474-5577

Fax

(949) 475-5575

NPI assigned

Mar 28, 2024

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1366293284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1943 PORT SEABOURNE WAY",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17752 SKY PARK CIR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146419",
            "telephone_number": "949-474-5577",
            "fax_number": "949-475-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLICHAN",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bsanchez@ascaba.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "17752 Sky Park Cir",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926146419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samantha Klebanow, BCBA
• Danielle Hannah Kleinman
• Mark Klem, PT
• Kristin Kleppe, PSYD
• Aleksandra Kliatskaia
• Zoe Rose Kline-Koenig
• Daniel Charles Kline, M.D.
• Courtney Knapp, PSY.D.
• Makena Knapp
• Ciara Knerr, CNM, WHNP

• Behavior Technician in Irvine, CA
• Providers in Irvine, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.