Active NPI
Kaitlin Simmons
- Behavior Analyst
- Scotts Valley, CA
National Provider Identifier
1609345586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-78013
- Practice address
- 125 Bethany Dr BLDG a
Scotts Valley, CA 95066-2803 - Phone
- (844) 322-7483
- Fax
- (888) 334-7021
- NPI assigned
- Nov 20, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-24-78013 | CA | Primary |
Addresses
Primary practice location
125 Bethany Dr BLDG a
Scotts Valley, CA 95066-2803
Mailing address
125 Bethany Dr BLDG a
Scotts Valley, CA 95066-2803
Phone (844) 322-7483
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abrite, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Walnut Creek, CA
- NPI 1669104519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745712000000",
"number": "1609345586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 BETHANY DR BLDG A",
"city": "SCOTTS VALLEY",
"state": "CA",
"postal_code": "950662803",
"telephone_number": "844-322-7483",
"fax_number": "888-334-7021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 BETHANY DR BLDG A",
"city": "SCOTTS VALLEY",
"state": "CA",
"postal_code": "950662803",
"telephone_number": "844-322-7483",
"fax_number": "888-334-7021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "KAITLIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-20",
"last_updated": "2025-04-27",
"certification_date": "2025-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-24-78013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scotts Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.