Individual provider Active NPI

Kaylee Quynh Tran, BCBA

  • Behavior Analyst
  • Anaheim, CA
National Provider Identifier
1700376068
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-29573 Issued in CA
Practice address
2400 E Katella Ave Ste 800
Anaheim, CA 92806
Phone
(714) 696-2862
Fax
(714) 242-9308
NPI assigned
May 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-18-29573 CA Primary

Addresses

Primary practice location

2400 E Katella Ave Ste 800
Anaheim, CA 92806

Mailing address

2400 E Katella Ave Ste 800
Anaheim, CA 92806-5955
Phone (714) 696-2862

Other practice location 1

500 S Main St Ste 600
Orange, CA 92868-4514
Phone (714) 542-2400

Other practice location 2

500 S Main St Ste 600
Orange, CA 92868-4514
Phone (714) 542-2400

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": "1526083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1700376068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 E KATELLA AVE STE 800",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928065955",
            "telephone_number": "714-696-2862",
            "fax_number": "714-242-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 E KATELLA AVE STE 800",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92806",
            "telephone_number": "714-696-2862",
            "fax_number": "714-242-9308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 S Main St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928684514",
            "country_code": "US",
            "telephone_number": "714-542-2400",
            "fax_number": "877-306-1436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 S Main St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928684514",
            "country_code": "US",
            "telephone_number": "714-542-2400",
            "fax_number": "877-306-1436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "KAYLEE",
        "middle_name": "QUYNH",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-12",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-18-29573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.