Keith Eric Belton, BCBA-D, LEP

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-13-13521 Issued in CA

Practice address

3045 S Archibald Ave Ste H-1043
Ontario, CA 91761-9001

Phone

(855) 832-6727

Fax

(772) 675-9100

NPI assigned

Jan 5, 2014

Last updated

Aug 29, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Educational & Behavioral Support Services, LLC

  • Behavior Analyst
  • Victorville, CA
  • NPI 1033755822
  NPD Authorized official
• Positive Behavior Supports Coorporation

  • Behavior Technician
  • Ontario, CA
  • NPI 1417786401
  NPD

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

{
    "created_epoch": "1388880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1770904088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 SOUTH KANNER KWY.",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977462",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 S ARCHIBALD AVE STE H-1043",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917619001",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELTON",
        "first_name": "KEITH",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "BCBA-D, LEP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-05",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CA",
            "license": "2967",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NU",
            "license": "2967",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-13-13521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheriden T'Ayre Bell
• Bella Aesthetica, a Professional Corporation (Bella Aesthetica MedSpa & Wellness Center)
• Bella Vista Operating Company Inc (Bella Vista Healthcare Center)
• Vanessa Bellamy
• Mackenzie Lucinda Bello Ponce
• Guadalupe Beltran Lara
• Denisse Beltran
• Dulce Beltran
• Nora Beltran
• Roberta J. Beltran, RDAT

• Behavior Analyst in Ontario, CA
• Providers in Ontario, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.