JAKE ROBERT KELSO BCBA - NPI 1356084388 - Behavior Analyst in San Diego, CA

Q: What is Jake Kelso's NPI number?

The NPI number for Jake Kelso is 1356084388. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Q: What is Jake Kelso's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Jake Kelso was last updated on May 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jake Robert Kelso Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAKE ROBERT KELSO BCBA (NPI 1356084388) is an individual behavior analyst provider in San Diego, California, licensed in California (1-24-75663) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1356084388

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameJAKE ROBERT KELSOCredential: BCBA

Location Address501 W BROADWAY STE 800San Diego, CA 92101-3546

Mailing Address501 W Broadway Ste 800San Diego, CA 92101-3546 · (855) 832-6727 · Fax (772) 675-9100

Phone(855) 832-6729

Sole ProprietorNo

Enumeration DateApril 18, 2022

Last NPPES UpdateMay 29, 20263 updates tracked since enumeration

NPPES CertifiedMay 29, 2026

✔ NPI 1356084388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in CA · 1-24-75663

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Also ListedBehavior TechnicianTaxonomy 106S00000X · License 106S00000X (CA)

501 W BROADWAY STE 800, San Diego, CA 92101

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON ELIZABETH MCNALLY

Behavior Technician