Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY BERMUDEZ
DeactivatedKELLY BERMUDEZ is a Behavior Technician healthcare provider located in LAGUNA HILLS, California. NPI 1023607637 is deactivated in the NPPES registry. Verify at CMS.
Behavior Technician · LAGUNA HILLS, CA
This NPI has been deactivated.
The record was deactivated on December 12, 2025.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1023607637
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 18, 2021 (4.8986301369863 yrs)
- Last Updated
- Jan 9, 2026
- Deactivated
- Dec 12, 2025
Practice Information
- Address
-
23046 AVENIDA DE LA CARLOTA STE 600LAGUNA HILLS, CA, 926531537Browse CA providers · Browse ZIP 92653
- Phone
- 9495436950
- Fax
- 8884036922
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in LAGUNA HILLS, CA
| Name | Credential | NPI |
|---|---|---|
| VIANCA MORALES | — | 1912454489 |
| PRISCILLA MACIAS | — | 1467991596 |
| JESSICA KATHRYN TURNER-LEE | — | 1417463407 |
| KELSEY KNUDSEN | RBT | 1376059378 |
| UNDARIYA BOLDBAATAR | — | 1801303763 |
| KEVIN LE | — | 1154838050 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.