Active NPI
Krystalline Austria Cayanan, RBT
- Behavior Technician
- Corona, CA
National Provider Identifier
1376153908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-119833
- Practice address
- 255 E Rincon St Ste 219
Corona, CA 92879-1387 - Phone
- (714) 603-5469
- NPI assigned
- Aug 7, 2020
- Last updated
- Aug 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-119833 | CA | Primary |
Addresses
Primary practice location
255 E Rincon St Ste 219
Corona, CA 92879-1387
Mailing address
611 S Twin Oaks Valley Rd Apt 25
San Marcos, CA 92078-5305
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-119833 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596758400000",
"number": "1376153908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 S TWIN OAKS VALLEY RD APT 25",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920785305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 E RINCON ST STE 219",
"city": "CORONA",
"state": "CA",
"postal_code": "928791387",
"telephone_number": "714-603-5469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAYANAN",
"first_name": "KRYSTALLINE",
"middle_name": "AUSTRIA",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-07",
"last_updated": "2020-08-07",
"certification_date": "2020-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-20-119833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.