Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jake Robert Kelso, BCBA

Individual provider Behavior Technician · NPI 1356084388

Jake Robert Kelso, BCBA is a Behavior Technician in San Diego, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
Specialties on file
2
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

501 W Broadway Ste 800
San Diego, CA 92101-3546
Phone: (855) 832-6729
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-24-75663 (CA)
Behavior Technician Taxonomy 106S00000X · Licence 106S00000X (CA)

Record details

NPI number1356084388
Entity typeIndividual (Type 1)
GenderMale
Credentials BCBA
Sole proprietorNo
NPI enumeratedApril 18, 2022
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026

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