Active NPI
Keyon Roberts, MS, BCBA
- Behavior Analyst
- Inglewood, CA
National Provider Identifier
1891153680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BCBA CERT#1-15-18781
- Practice address
- 3623 W Medici LN
Inglewood, CA 90305-1882 - Phone
- (323) 253-7729
- NPI assigned
- Feb 8, 2016
- Sex
- Male
- 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 | BCBA CERT#1-15-18781 | CA | Primary |
Addresses
Primary practice location
3623 W Medici LN
Inglewood, CA 90305-1882
Mailing address
3623 W Medici LN
Inglewood, CA 90305-1882
Phone (323) 253-7729
Other practice location 1
1063 McGaw Ave
Irvine, CA 92614-5505
Phone (714) 834-1111
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1891153680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3623 W MEDICI LN",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903051882",
"telephone_number": "323-253-7729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3623 W MEDICI LN",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903051882",
"telephone_number": "323-253-7729"
}
],
"practiceLocations": [
{
"address_1": "1063 McGaw Ave",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926145505",
"country_code": "US",
"telephone_number": "714-834-1111",
"fax_number": "714-834-1128",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "KEYON",
"credential": "MS, BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-08",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "BCBA CERT#1-15-18781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.