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KRYSTAL MARIE FOUNTAINE
NPI 1811131014
Behavior Analyst in Tarzana, CA

Active since May 01, 2009
5554 RESEDA BLVD STE 203, TARZANA, CA 91356(818) 698-9507 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 19, 2022, Nov 11, 2019 (2 updates tracked since 2019).

About Krystal Marie Fountaine NPPES

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

KRYSTAL MARIE FOUNTAINE (NPI 1811131014) is an individual behavior analyst provider in Tarzana, California, licensed in California (1-16-23131) and active in the NPI registry since May 2009. She maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1811131014
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameKRYSTAL MARIE FOUNTAINE
Location Address5554 RESEDA BLVD STE 203Tarzana, CA 91356-6212
Mailing Address5554 Reseda Blvd Ste 203Tarzana, CA 91356-6212 · (818) 698-9507
Phone(818) 698-9507
Sole ProprietorNo
Enumeration DateMay 1, 2009
Last NPPES UpdateJanuary 19, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2022
✔ NPI 1811131014 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 CA · 1-16-23131
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.
5554 RESEDA BLVD STE 203, Tarzana, CA 91356
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Secondary Practice Location 1

Location 16004 Walden DrKnoxville, TN 37919-6370 · Phone (818) 698-9507

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.

RANDY ENCISO
Behavior Analyst
5554 RESEDA BLVD STE 203
TARZANA, CA 91356
Los Angeles County (818) 705-5522
ISABELLA MAY FERGUSON
Behavior Technician
5554 RESEDA BLVD STE 203
TARZANA, CA 91356
Los Angeles County (818) 705-5522
MRS. KIMBERLY YATZIN MONGE ESTRADA
Behavior Technician
5554 RESEDA BLVD STE 203
TARZANA, CA 91356
Los Angeles County (818) 705-5522
MS. CHUI PING PINKY WU
Behavior Technician
5554 RESEDA BLVD STE 203
TARZANA, CA 91356
Los Angeles County (800) 683-3522
JASON ROBERT MEDINA
Behavior Technician
5554 RESEDA BLVD STE 203
TARZANA, CA 91356
Los Angeles County (800) 683-3522
MADISON LEE DE LA GARZA
Behavior Technician
5554 RESEDA BLVD STE 203
TARZANA, CA 91356
Los Angeles County (818) 705-5522
KASANDRA PEREZ-BARAJAS
Behavior Technician
5554 RESEDA BLVD STE 203
TARZANA, CA 91356
Los Angeles County (818) 705-5522
ROBERT SILVER
Behavior Technician
5554 RESEDA BLVD STE 203
TARZANA, CA 91356
Los Angeles County (818) 698-9507

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 Krystal Fountaine's NPI number?

The NPI number for Krystal Fountaine is 1811131014. It was assigned to this individual provider in the NPPES registry on May 1, 2009.

Where is Krystal Fountaine located?

Krystal Fountaine practices at 5554 Reseda Blvd Ste 203, Tarzana, CA 91356. The listed phone number is (818) 698-9507.

What is Krystal Fountaine's specialty?

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

When was this NPI record last updated?

The NPPES record for Krystal Fountaine was last updated on January 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.