Active NPI
Lisa Marie Kakish
- Behavior Analyst
- Ontario, CA
National Provider Identifier
1770103251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 4688 Ontario Mills Pkwy
Ontario, CA 91764-5104 - Phone
- (909) 476-5747
- NPI assigned
- Apr 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
4688 Ontario Mills Pkwy
Ontario, CA 91764-5104
Mailing address
10130 Foothill Blvd Unit 331
Rancho Cucamonga, CA 91730-0384
Other practice location 1
2930 Inland Empire Blvd Ste 101
Ontario, CA 91764-4802
Phone (909) 532-3526
Other practice location 2
21 Rancho Camino Dr Ste 108
Pomona, CA 91766-7020
Phone (855) 223-7123
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": "1587686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1770103251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10130 FOOTHILL BLVD UNIT 331",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917300384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4688 ONTARIO MILLS PKWY",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917645104",
"telephone_number": "909-476-5747"
}
],
"practiceLocations": [
{
"address_1": "2930 Inland Empire Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "CA",
"postal_code": "917644802",
"country_code": "US",
"telephone_number": "909-532-3526",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21 Rancho Camino Dr Ste 108",
"address_purpose": "LOCATION",
"city": "Pomona",
"state": "CA",
"postal_code": "917667020",
"country_code": "US",
"telephone_number": "855-223-7123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAKISH",
"first_name": "LISA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-24",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.