KELLY PENN
NPI 1538677216
Behavior Analyst in Corona, CA

Active since January 17, 2018
1871 CALIFORNIA AVE, CORONA, CA 92881(951) 686-2020(951) 268-9450 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 15, 2026, Oct 13, 2023, Jan 17, 2018 (3 updates tracked since 2018).

About Kelly Penn NPPES

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

KELLY PENN (NPI 1538677216) is an individual behavior analyst provider in Corona, California, licensed in Virginia (0133001727) and active in the NPI registry since January 2018. She maintains a secondary practice location in Sterling.

NPPES Registry Identity

NPI1538677216
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameKELLY PENN
Location Address1871 CALIFORNIA AVECorona, CA 92881-6477
Mailing Address1871 California AveCorona, CA 92881-6477 · (818) 345-2345
Fax(951) 268-9450
Sole ProprietorNo
Enumeration DateJanuary 17, 2018
Last NPPES UpdateApril 15, 20263 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
NPI 1538677216 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 in VA · 0133001727
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.
1871 CALIFORNIA AVE, Corona, CA 92881

Secondary Practice Location 1

Location 146040 Center Oak PlzSterling, VA 20166-8539 · Phone (703) 997-9494

Accepted Insurance

Other Providers at the Same Location NPPES 13

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

Behavior Technician
1871 CALIFORNIA AVE
CORONA, CA 92881
Behavior Technician
1871 CALIFORNIA AVE
CORONA, CA 92881
Behavior Analyst
1871 CALIFORNIA AVE
CORONA, CA 92881
Behavior Technician
1871 CALIFORNIA AVE
CORONA, CA 92881
Behavior Technician
1871 CALIFORNIA AVE
CORONA, CA 92881
Behavior Technician
1871 CALIFORNIA AVE
CORONA, CA 92881
Behavior Technician
1871 CALIFORNIA AVE
CORONA, CA 92881
Behavior Technician
1871 CALIFORNIA AVE
CORONA, CA 92881

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Penn's NPI number?

The NPI number for Kelly Penn is 1538677216. It was assigned to this individual provider in the NPPES registry on January 17, 2018.

Where is Kelly Penn located?

Kelly Penn practices at 1871 California Ave, Corona, CA 92881. The listed phone number is (951) 686-2020.

What is Kelly Penn's specialty?

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

What insurance does Kelly Penn accept?

Health plans from Anthem Blue Cross and Blue Shield and Providence Health Plan list Kelly Penn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Penn was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.