Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013307016 Individual Practitioner Female Practitioner

Kisa Korello , MED, BCBA

Behavior Analyst • San Bruno, CA

Professional Overview & Biography Verified Profile Summary

Kisa Korello, MED, BCBA is a registered healthcare professional specializing in Behavior Analyst in San Bruno, CA. Practice services are available at 2770 PLYMOUTH WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2770 Plymouth Way

San Bruno, CA 940662731

Telephone 6505154726

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in San Bruno, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
89 Specialists

Practicing in San Bruno, CA (20508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 28, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 28, 2015

Registered at 2770 PLYMOUTH WAY, SAN BRUNO, CA 940662731 (Tel: 6505154726)

📍
Updated Business Mailing Address January 28, 2015

Registered at 2770 PLYMOUTH WAY, SAN BRUNO, CA 940662731 (Tel: 4089104929)

👤
Provider Name / Credentials Updated January 28, 2015

Recorded as KISA KORELLO, M.ED., BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2015

Behavior Analyst

🟢
Initial NPI Registration & Enumeration January 28, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013307016
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 28, 2015
Last Update: January 28, 2015
Sole Proprietor: Yes

Mailing Address

2770 Plymouth Way

San Bruno, CA 940662731

Phone: 4089104929

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.