Individual provider Active NPI

Kaitlyn Bryn Ohara

  • Behavior Technician
  • South Pasadena, CA
National Provider Identifier
1972437580
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB1611846 Issued in CA
Practice address
625 Fair Oaks Ave Ste 200
South Pasadena, CA 91030-2694
Phone
(619) 275-4525
NPI assigned
Jun 9, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X BACB1611846 CA Primary

Addresses

Primary practice location

625 Fair Oaks Ave Ste 200
South Pasadena, CA 91030-2694

Mailing address

625 Fair Oaks Ave Ste 200
South Pasadena, CA 91030-2694
Phone (619) 275-4525

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": "1780963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1972437580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 FAIR OAKS AVE STE 200",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910302694",
            "telephone_number": "619-275-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 FAIR OAKS AVE STE 200",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910302694",
            "telephone_number": "619-275-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHARA",
        "first_name": "KAITLYN",
        "middle_name": "BRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "BACB1611846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.

Verify at the official NPI Registry.