Active NPI
William Michael Kernozek II
- Behavior Analyst
- Sparks, NV
National Provider Identifier
1407155641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 4408 Clearwood Dr
Sparks, NV 89436-6363 - Phone
- (775) 229-6826
- Fax
- (775) 622-4837
- NPI assigned
- Mar 25, 2011
- Sex
- Male
- 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 Analyst | 103K00000X | Primary |
Addresses
Primary practice location
4408 Clearwood Dr
Sparks, NV 89436-6363
Mailing address
15422 Florwood Ave
Lawndale, CA 90260-3535
Phone (310) 844-3912
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": "1301011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301011200000",
"number": "1407155641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15422 FLORWOOD AVE",
"city": "LAWNDALE",
"state": "CA",
"postal_code": "902603535",
"telephone_number": "310-844-3912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4408 CLEARWOOD DR",
"city": "SPARKS",
"state": "NV",
"postal_code": "894366363",
"telephone_number": "775-229-6826",
"fax_number": "775-622-4837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERNOZEK",
"first_name": "WILLIAM",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"name_suffix": "II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-25",
"last_updated": "2011-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.