Krysti Dezonia, ED.D

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-15957 Issued in CA

Practice address

251 Airport Rd
Oceanside, CA 92058-1201

Phone

(760) 721-1706

Fax

(760) 721-9872

NPI assigned

Sep 24, 2014

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1629470372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 AIRPORT RD",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920581201",
            "telephone_number": "760-721-1706",
            "fax_number": "760-721-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 AIRPORT RD",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920581201",
            "telephone_number": "760-721-1706",
            "fax_number": "760-721-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEZONIA",
        "first_name": "KRYSTI",
        "credential": "ED.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-14-15957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.