Kelsey Lynn Laser

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

123 Calle Amistad Unit 7205
San Clemente, CA 92673-6971

Phone

(949) 637-1492

NPI assigned

Oct 14, 2019

Last updated

Oct 14, 2019By the provider in NPPES

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

Other names 1

• Kelsey Lynn Brandt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1841832540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 E COLORADO BLVD STE 550",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062358",
            "telephone_number": "818-241-6780",
            "fax_number": "818-241-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 CALLE AMISTAD UNIT 7205",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736971",
            "telephone_number": "949-637-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASER",
        "first_name": "KELSEY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "BRANDT",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• La Laser Center, PC, a Professional Medical Corporation
• Sheridan Lamb, OTR/L
• Jeremy Paul Lamotte, MD
• Sophia Chaitha Lancaster, OTR/L
• Ariana Lapierre, IBCLC
• Teresa Lau
• Mike Jack Laubach, DC
• Kristin Lawrence, AMFT
• Cynthia Lay, PT, DPT
• Anthony T Ledonne, M.D.

• Behavior Technician in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.