Kelsey Gundestrup, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-27420 Issued in CA

Practice address

1337 Howe Ave
Sacramento, CA 95825

Phone

(916) 564-5010

NPI assigned

Sep 27, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Total Education Solutions

  • Early Intervention Provider Agency
  • Rancho Cordova, CA
  • NPI 1841586757
  NPD (past)

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1841709490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7613 PRATT AVE",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956102208",
            "telephone_number": "916-728-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 HOWE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95825",
            "telephone_number": "916-564-5010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2151 Professional Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956613761",
            "country_code": "US",
            "telephone_number": "916-771-0520",
            "fax_number": "916-563-8049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNDESTRUP",
        "first_name": "KELSEY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-17-27420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madina M Gulomova
• Sibusisiwe Gumbo, PHARM.D, MHA
• Hannah Noelle Gumm, CF-RPE
• Srinivas C Gummaraju, M.D.
• Jessica Gunadi
• Bruce Gunn
• Deajanae Nikole Gunn
• Mikhail Gunn
• Annie Gunter, D.D.S.
• Brian A. Gunter, MD

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

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