Krystal Palacios

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

11150 W Olympic Blvd Ste 1160
Los Angeles, CA 90064-1826

Phone

(424) 559-5300

Fax

(818) 671-2774

NPI assigned

Jan 2, 2019

Last updated

May 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1518430586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N DEWITT AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120311",
            "telephone_number": "559-575-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 W OLYMPIC BLVD STE 1160",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641826",
            "telephone_number": "424-559-5300",
            "fax_number": "818-671-2774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 N DeWitt Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936120311",
            "country_code": "US",
            "telephone_number": "559-575-8172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALACIOS",
        "first_name": "KRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2022-05-12",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Palacios, M.S.
• Jasmin Andrea Palacios
• Jocelyn M Palacios
• Jose Gabriel Palacios
• Khelani Palacios
• Linda Palacios
• Mario Fernando Palacios, MFT
• Martha Rubidia Palacios, MSW
• Mianie Palacios
• Nancy Palacios

• Behavior Analyst in Los Angeles, CA
• Providers in Los Angeles, 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 12, 2022; 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.