Individual provider Active NPI

Sylvia Kurniawan, BCBA

  • Behavior Analyst
  • Martinez, CA
National Provider Identifier
1780149138
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-55371 Issued in CA
Practice address
535 Main St Ste 3C
Martinez, CA 94553-1102
Phone
(925) 905-9077
NPI assigned
Feb 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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 1-21-55371 CA Primary

Addresses

Primary practice location

535 Main St Ste 3C
Martinez, CA 94553-1102

Mailing address

3223 Munras PL
San Ramon, CA 94583-3039
Phone (818) 433-0492

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

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Bloom LLC Behavior Analyst Current Accepting new patients
Center for Speech, Language and Occupational Therapy a Prof Corp Past Accepting new patients

Locations

25031 Avenue Stanford
Ste 30
Valencia, CA 91355
Phone (818) 433-0492

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1780149138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 MUNRAS PL",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945833039",
            "telephone_number": "818-433-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 MAIN ST STE 3C",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945531102",
            "telephone_number": "925-905-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURNIAWAN",
        "first_name": "SYLVIA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-55371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.