Kelly J Prieto, M.S., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-08-4472 Issued in CA

Practice address

19117 Alphington Ave
Cerritos, CA 90703-7215

Phone

(844) 422-2435

Fax

(562) 219-7458

NPI assigned

Oct 26, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Applied Behavior Analysis Consultation Services, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Cerritos, CA
  • NPI 1851791420
  NPD Authorized official

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1497081491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4325",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907034325",
            "telephone_number": "844-422-2435",
            "fax_number": "562-219-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19117 ALPHINGTON AVE",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037215",
            "telephone_number": "844-422-2435",
            "fax_number": "562-219-7458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11044 Washington Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "906063006",
            "country_code": "US",
            "telephone_number": "844-422-2435",
            "fax_number": "562-219-7458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIETO",
        "first_name": "KELLY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "M.S., BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-26",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-08-4472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin R Preciado
• Mia Teresa Preciado
• Precision Material Management, LLC
• Rosalin Preechakul
• Premise Health of California Medical PC
• Layla Prieto
• Prime Choice Home Health Inc.
• Irene Pringsulaka, M.A, OTR/L
• Privilege Home Services, Inc.
• Pro Care Physical Therapy

• Behavior Analyst in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.

Verify at the official NPI Registry.