Kari Marie Atencio, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2107 Indian Springs LN
Newport Beach, CA 92660-3617

Phone

(714) 287-0964

NPI assigned

Jan 23, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kari Marie Kerslake Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Shine Learning Alliance

  • Behavior Analyst
  • Irvine, CA
  • NPI 1508406331
  NPD

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1619682846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10575 EL MANZANO AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083815",
            "telephone_number": "714-287-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 INDIAN SPRINGS LN",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603617",
            "telephone_number": "714-287-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATENCIO",
        "first_name": "KARI",
        "middle_name": "MARIE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kari@shinelearningalliance.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2107 Indian Springs Ln",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926603617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KARI",
            "last_name": "KERSLAKE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leslie Jane Aspis, D.M.D.
• Tamerou Asrat, M.D.
• Arthur Astorino Jr., MD
• Michelle Aszterbaum, MD
• Monica L Aszterbaum, MD
• Leela Athalye, D.O.
• Atlas Care
• Atlas Medical Supplies and Equipment, Inc
• Ats Health
• Christina Attiken, MPT

• Behavior Analyst in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.