Active NPI
Taja Kelly, BCBA
- Behavior Analyst
- Felton, CA
National Provider Identifier
1689523409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 538 San Lorenzo Ave
Felton, CA 95018-9280 - Phone
- (831) 325-2989
- NPI assigned
- Jan 26, 2026
- Sex
- Female
- Sole proprietor
- Yes
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
538 San Lorenzo Ave
Felton, CA 95018-9280
Mailing address
538 San Lorenzo Ave
Felton, CA 95018-9280
Phone (831) 325-2989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 26, 2026.
{
"created_epoch": "1769385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1689523409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "538 SAN LORENZO AVE",
"city": "FELTON",
"state": "CA",
"postal_code": "950189280",
"telephone_number": "831-325-2989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "538 SAN LORENZO AVE",
"city": "FELTON",
"state": "CA",
"postal_code": "950189280",
"telephone_number": "831-325-2989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "TAJA",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-26",
"last_updated": "2026-01-26",
"certification_date": "2026-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Felton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.