Roselie Kounlavouth, MAED, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-32586 Issued in CA

Practice address

2909 Oregon CT Ste A1
Torrance, CA 90503-2693

Phone

(310) 320-1333

Fax

(310) 320-6555

NPI assigned

Jan 3, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1982177853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 OREGON CT STE A1",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905032693",
            "telephone_number": "310-320-1333",
            "fax_number": "310-320-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 OREGON CT STE A1",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905032693",
            "telephone_number": "310-320-1333",
            "fax_number": "310-320-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUNLAVOUTH",
        "first_name": "ROSELIE",
        "credential": "MAED, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-18-32586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Koskela, RPT
• Aditya Ashvinbhai Kotecha, M.D.
• Lana Hope Kotsiris
• Amr Kouchouk
• Hala Koudsi, M.D.
• Clement Jerry Kovar II, M.D.
• Mikhail Kovshilovsky, M.D.
• Christopher Kiyoshi Koyanagi, MPT
• Koyo Psychology, Inc.
• Maggie Kozman

• Behavior Analyst in Torrance, CA
• Providers in Torrance, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.