CHANEL KIM (NPI# 1184221962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184221962 |
| Entity Type | Individual |
| Full Name | CHANEL KIM |
| Practice Address |
3745 Long Beach Blvd Ste 100 Long Beach CA 90807-3340 |
| Mailing Address |
10360 E Briar Oaks Dr Apt C Stanton CA 90680-4226 |
| Practice Telephone | 8665234268 |
| Mailing Telephone | 7148228223 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
3745 LONG BEACH BLVD STE 100 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90807-3340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598618 | Andrea Soto | Behavior Technician | 3745 Long Beach Blvd Ste 100, Long Beach, CA 90807-3340 | 2020-11-06 |
| 1386245470 | Joseph James Morales | Behavior Technician | 3745 Long Beach Blvd Ste 100, Long Beach, CA 90807-3340 | 2020-11-04 |
| 1801497151 | Brianna Butler | Behavior Technician | 3745 Long Beach Blvd Ste 100, Long Beach, CA 90807-3340 | 2020-11-03 |
| 1972104206 | Froylan Francisco Cota-reyes | Behavior Technician | 3745 Long Beach Blvd Ste 100, Long Beach, CA 90807-3340 | 2020-11-03 |
| 1043819667 | Aylin Valtierra | Behavior Technician | 3745 Long Beach Blvd Ste 100, Long Beach, CA 90807-3340 | 2020-10-23 |
| 1831798750 | Lizbeth Leon | Behavior Technician | 3745 Long Beach Blvd Ste 100, Long Beach, CA 90807-3340 | 2020-10-21 |
| 1992304034 | Daia Emon Brewer | Behavior Technician | 3745 Long Beach Blvd Ste 100, Long Beach, CA 90807-3340 | 2020-10-20 |
| 1487253787 | Areli Navarro Garcia | Behavior Technician | 3745 Long Beach Blvd Ste 100, Long Beach, CA 90807-3340 | 2020-10-19 |
| 1639777949 | Brianna Rose Brito | Behavior Technician | 3745 Long Beach Blvd Ste 100, Long Beach, CA 90807-3340 | 2020-10-09 |
| 1912504325 | Daniel James Halaby | Behavior Technician | 3745 Long Beach Blvd Ste 100, Long Beach, CA 90807-3340 | 2020-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359434 | Kanna Lynn Curtis | Behavioral Analyst | 3491 Elm Avenue, Long Beach, CA 90807 | 2019-08-01 |
| 1891359394 | David Smith Samuel Tchon Dds Inc | Dentist | 4231 Long Beach Blvd, Long Beach, CA 90807 | 2019-04-30 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1881110096 | Shafeeullah Hashim Gaines | Counselor | 4335 Altantic Ave, Long Beach, CA 90807 | 2017-08-18 |
| 1295259943 | Debresia Jackson | Community Health Worker | 900 E. Wardlow Rd, Long Beach, CA 90807 | 2017-08-02 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1336675800 | La-pham and Kansagra Dental Corporation | Dentist | 4578 Atlantic Ave, Long Beach, CA 90807 | 2017-05-03 |
| 1114462637 | Andunett Langhum | Counselor | 4335 Atlantic Blved, Long Beach, CA 90807 | 2016-12-20 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| Find all providers in zip 90807 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538590 | Ramsha Khan | Behavior Technician | 225 W 3rd St Apt 436, Long Beach, CA 90802-3052 | 2020-11-04 |
| 1740898634 | Leslie Bernard | Behavior Technician | 1604 E 3rd St Apt 10, Long Beach, CA 90802-3757 | 2020-07-16 |
| 1053946210 | Alexis Khalisse Causey | Behavior Technician | 234 Termino Ave Apt 10, Long Beach, CA 90803-7504 | 2020-03-09 |
| 1952935298 | Caitlin Eng | Behavior Technician | 2221 Iroquois Ave, Long Beach, CA 90815-2333 | 2020-02-25 |
| 1013557339 | Kymberli Parker | Behavior Technician | 5841 E Pavo St, Long Beach, CA 90808-3719 | 2020-01-15 |
| 1407497969 | Sabrina Del Rosario Hermosillo | Behavior Technician | 1426 Peterson Ave, Long Beach, CA 90813-2326 | 2019-10-04 |
| 1164082392 | Stephanie Astudillo | Behavior Technician | 2696 E 56th St Apt 3, Long Beach, CA 90805-5029 | 2019-06-19 |
| 1265097711 | Georgette Ifeoma Ilouno | Behavior Technician | 2355 Long Beach Blvd, Long Beach, CA 90806-3289 | 2019-05-09 |
| 1205398310 | Vilma Garrido Riquenes | Behavior Technician | 5025 E Pacific Coast Hwy Apt P233, Long Beach, CA 90804-3295 | 2019-04-05 |
| 1215496468 | Gilbert Gonzalez | Behavior Technician | 3434 Lemon Ave, Long Beach, CA 90807-4718 | 2019-03-18 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90807 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.