Individual provider Active NPI

Kailey Castro, BCABA

  • Assistant Behavior Analyst
  • San Diego, CA
National Provider Identifier
1972176956
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-21-12091 Issued in CA
Practice address
6494 Weathers PL
San Diego, CA 92121-2938
Phone
(877) 992-2224
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-21-12091 CA Primary

Addresses

Primary practice location

6494 Weathers PL
San Diego, CA 92121-2938

Mailing address

11030 Via Brescia Apt 202
San Diego, CA 92129-1651
Phone (760) 710-1315

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kaileyc@abaadaptiveservices.com

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

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1972176956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 VIA BRESCIA APT 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921291651",
            "telephone_number": "760-710-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6494 WEATHERS PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212938",
            "telephone_number": "877-992-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "KAILEY",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "CA",
            "license": "0-21-12091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kaileyc@abaadaptiveservices.com",
            "affiliation": "N",
            "address_1": "6494 Weathers Pl",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921212938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.