KAELYN ANDERSON
NPI 1417611690
Behavior Analyst in Tarzana, CA

Q: What is Kaelyn Anderson's NPI number?

The NPI number for Kaelyn Anderson is 1417611690. It was assigned to this individual provider in the NPPES registry on October 25, 2021.

Q: What is Kaelyn Anderson'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 Kaelyn Anderson was last updated on October 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 25, 2021

5530 CORBIN AVE STE 221, TARZANA, CA 91356(818) 600-8758 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kaelyn Anderson NPPES

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

KAELYN ANDERSON (NPI 1417611690) is an individual behavior analyst provider in Tarzana, California, licensed in (1-15-18) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1417611690

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameKAELYN ANDERSON

Location Address5530 CORBIN AVE STE 221Tarzana, CA 91356-6095

Mailing Address5530 Corbin Ave Ste 221Tarzana, CA 91356-6095 · (818) 600-8758

Phone(818) 600-8758

Sole ProprietorNo

Enumeration DateOctober 25, 2021

NPPES CertifiedOctober 25, 2021

✔ NPI 1417611690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed · 1-15-18

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.

5530 CORBIN AVE STE 221, Tarzana, CA 91356

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Other Identifiers 1

Medicaid0CA

Other Providers at the Same Location NPPES 19

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

ASHLEY WAGNER

Behavior Technician