KRYSTAL MARIE FOUNTAINE
NPI 1811131014
Behavior Analyst in Tarzana, CA

Q: 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.

Q: What is Krystal Fountaine'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 Krystal Fountaine was last updated on January 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 19, 2026.

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

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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 19

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

MISS IRIS JOANNE ALVAREZ B.A., BCABA

Behavior Analyst