Active NPI
Krystina Reyes
- Behavior Analyst
- El Dorado Hills, CA
National Provider Identifier
1629720875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 5170 Golden Foothill Pkwy Ste 143
El Dorado Hills, CA 95762-9608 - Phone
- (916) 280-4678
- NPI assigned
- Jan 19, 2022
- Reactivated
- Oct 31, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | CA | Primary |
Addresses
Primary practice location
5170 Golden Foothill Pkwy Ste 143
El Dorado Hills, CA 95762-9608
Mailing address
1200 Concord Ave Ste 185
Concord, CA 94520-5006
Phone (510) 268-8120
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1629720875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CONCORD AVE STE 185",
"city": "CONCORD",
"state": "CA",
"postal_code": "945205006",
"telephone_number": "510-268-8120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5170 GOLDEN FOOTHILL PKWY STE 143",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957629608",
"telephone_number": "916-280-4678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "KRYSTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-19",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"deactivation_date": "2022-09-27",
"reactivation_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Dorado Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.