Active NPI
Michael Kieran, MS BCBA
- Behavior Analyst
- Chico, CA
National Provider Identifier
1376196543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-36407
- Practice address
- 55 Declaration Dr Ste B
Chico, CA 95973-4965 - Phone
- (530) 487-7265
- Fax
- (530) 487-7263
- NPI assigned
- Jul 17, 2019
- Last updated
- Jul 17, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 Analyst | 103K00000X | 1-19-36407 | CA | Primary |
Addresses
Primary practice location
55 Declaration Dr Ste B
Chico, CA 95973-4965
Mailing address
55 Declaration Dr Ste B
Chico, CA 95973-4965
Phone (530) 487-7265
Other names 1
- Michael M Kieran
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Behavior Solutions | Behavior Analyst | Current | Accepting new patients |
| Nexus Therapies LLC | Past | Accepting new patients |
Locations
55 Declaration Dr
Ste B
Chico, CA 95973
Phone (530) 487-7265
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Early Intervention Provider Agency
- Fairfield, CA
- NPI 1831752781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563321600000",
"number": "1376196543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 DECLARATION DR STE B",
"city": "CHICO",
"state": "CA",
"postal_code": "959734965",
"telephone_number": "530-487-7265",
"fax_number": "530-487-7263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 DECLARATION DR STE B",
"city": "CHICO",
"state": "CA",
"postal_code": "959734965",
"telephone_number": "530-487-7265",
"fax_number": "530-487-7263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIERAN",
"first_name": "MICHAEL",
"credential": "MS BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-17",
"last_updated": "2019-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-19-36407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAEL",
"last_name": "KIERAN",
"middle_name": "M",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.