Individual provider Active NPI

Kerry Hillier, M.ED., BCBA

  • Behavior Analyst
  • San Jose, CA
National Provider Identifier
1902223068
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-15146 Issued in CA
Practice address
1401 Parkmoor Ave
Suite 208
San Jose, CA 95126-3403
Phone
(206) 940-7447
Fax
(800) 656-5079
NPI assigned
Mar 26, 2014
Last updated
Mar 26, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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 1-14-15146 CA Primary

Addresses

Primary practice location

1401 Parkmoor Ave
Suite 208
San Jose, CA 95126-3403

Mailing address

3186 San Juan Ave
Santa Clara, CA 95051-1642

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 Education

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1902223068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3186 SAN JUAN AVE",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950511642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PARKMOOR AVE",
            "address_2": "SUITE 208",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263403",
            "telephone_number": "206-940-7447",
            "fax_number": "800-656-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLIER",
        "first_name": "KERRY",
        "credential": "M.ED., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-14-15146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.