Active NPI
Lisa Nakano Kwon, BCBA
- Behavior Analyst
- Escondido, CA
National Provider Identifier
1851782296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-51843
- Practice address
- 562 W Grand Ave
Escondido, CA 92025-2502 - Phone
- (760) 691-9622
- NPI assigned
- Feb 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-21-51843 | TN | Primary |
Addresses
Primary practice location
562 W Grand Ave
Escondido, CA 92025-2502
Mailing address
562 W Grand Ave
Escondido, CA 92025-2502
Other practice location 1
6761 Stage Rd
Bartlett, TN 38134-3867
Phone (901) 379-8827
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Jade & Associates, a Speech Pathology Corporation | Behavior Analyst | Past | Accepting new patients |
| Transformations Autism Treatment Center | Behavior Analyst | Past | Accepting new patients |
| Avid ABA Services | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Escondido, CA
- NPI 1205370806
-
- Speech-Language Pathologist
- Franklin, TN
- NPI 1639305014
Behavior Analyst
-
- Behavior Analyst
- Cordova, TN
- NPI 1881825107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681689600000",
"number": "1851782296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "562 W GRAND AVE",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920252502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "562 W GRAND AVE",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920252502",
"telephone_number": "760-691-9622"
}
],
"practiceLocations": [
{
"address_1": "6761 Stage Rd",
"address_purpose": "LOCATION",
"city": "Bartlett",
"state": "TN",
"postal_code": "381343867",
"country_code": "US",
"telephone_number": "901-379-8827",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KWON",
"first_name": "LISA",
"middle_name": "NAKANO",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-06",
"last_updated": "2023-04-17",
"certification_date": "2023-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TN",
"license": "1-21-51843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.