Kisa Korello
Behavior Analyst
2770 Plymouth Way
San Bruno
, California 94066-2731
Kisa Korello
Behavior Analyst
2770 Plymouth Way
San Bruno
, California 94066-2731
(408) 910-4929
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About
Features
Specialties
- Behavior Analyst
Languages spoken
- English
Location
First Address
- Kisa Korello
- 2770 Plymouth Way
- San Bruno, CA
- Zip : 94066-2731
- Phone : (408) 910-4929
Second Address
- Kisa Korello
- 2770 Plymouth Way
- San Bruno, CA
- Zip : 94066-2731
- Phone : (650) 515-4726
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103K00000X | Behavior Analyst |
National Provider Identifier
| NPI | 1013307016 |
|---|---|
| Provider Name | Kisa Korello |
| First Address | San Bruno, CA 94066-2731 |
| Second Address | San Bruno, CA 94066-2731 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/01/2015 |
| Last Update Date | 28/01/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.