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

Keyla Gisselle Fajardo

Individual provider Behavior Technician · NPI 1053206524

Keyla Gisselle Fajardo is a Behavior Technician in Newport Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1151 Dove St
Newport Beach, CA 92660-2840
Phone: (949) 630-8290
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X (CA)
Behavior Technician Taxonomy 106S00000X (CA)

Record details

NPI number1053206524
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 12, 2025
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025

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