Kelli Julia Guillory
Individual provider Active NPI Behavior Analyst · Stanton, CA
NPI 1609427400 · NPPES record last updated Sep 23, 2019
Key facts
- NPI
- 1609427400
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 12235 Beach Blvd Ste 100
Stanton, CA 90680-3943 - Phone
- (909) 354-7799
- NPI assigned
- Sep 23, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Steps | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
12235 Beach Blvd Ste 100
Stanton, CA 90680-3943
Mailing address
12235 Beach Blvd Ste 100
Stanton, CA 90680-3943
Phone (909) 354-7799
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | kguillory@Active-Steps.com | Direct |
Other providers in Stanton, CA
- Ellen Gibson
- Melissa Gil
- Go Diagnostics Inc
- Mikael Joseph Auro Godisan
- Jason Gonzalez
- Juan Francisco Gutierrez-Hernandez Jr.
- Angelica Jasmine Gutierrez
- Mirna Griselda Gutierrez
- Stephany M Gutierrez
- Frida Guzman
All providers in Stanton, CA · Behavior Analyst in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.