Individual provider Active NPI

Kelley Serena, M.A., BCBA

  • Behavior Analyst
  • Covina, CA
National Provider Identifier
1649780594
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1274 Center Court Dr Ste 211
Covina, CA 91724-3668
Phone
(626) 339-4999
Fax
(626) 339-4999
NPI assigned
Oct 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1274 Center Court Dr Ste 211
Covina, CA 91724-3668

Mailing address

1274 Center Court Dr Ste 211
Covina, CA 91724-3668
Phone (626) 339-4999

Other practice location 1

31344 Via Colinas Ste 108
Westlake Village, CA 91362-6797
Phone (805) 379-3212

Other identifiers 1

IdentifierTypeStateIssuer
45-3589857OtherTHE HOLMAN GROUP

Other names 1

  • Kelley Albiston Former name

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1649780594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1274 CENTER COURT DR STE 211",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243668",
            "telephone_number": "626-339-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 CENTER COURT DR STE 211",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243668",
            "telephone_number": "626-339-4999",
            "fax_number": "626-339-4999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31344 Via Colinas Ste 108",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913626797",
            "country_code": "US",
            "telephone_number": "805-379-3212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERENA",
        "first_name": "KELLEY",
        "credential": "M.A., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE HOLMAN GROUP",
            "identifier": "45-3589857",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLEY",
            "last_name": "ALBISTON",
            "credential": "M.A. BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.

Verify at the official NPI Registry.