MR. JUSTIN KIM (NPI# 1194383950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194383950 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN KIM |
| Practice Address |
505 E Commonwealth Ave Fullerton CA 92832-4009 |
| Mailing Address |
1435 N Harbor Blvd # 124 Fullerton CA 92835-4105 |
| Practice Telephone | 7147730077 |
| Practice Fax Number | 7147730067 |
| Mailing Telephone | 7147730077 |
| Mailing Fax Number | 7147730067 |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619421666 | Justin Howoong Kim | Acupuncturist | 13 Overlook Trl, Apt.1323, Peabody, MA 01960-3895 | 2016-08-08 |
| 1811353857 | Justin Kim | Optometrist | 1350 Galaxy Dr Ne, Lacey, WA 98516-4757 | 2016-01-06 |
| 1114348265 | Justin E Kim | Dentist | 11140 Mesquite Ave, Loma Linda, CA 92354-6556 | 2013-12-16 |
| 1336308451 | Justin Jungchul Kim | Acupuncturist | 15132 S Western Ave, Gardena, CA 90249-4313 | 2008-06-04 |
| 1043489248 | Justin Taehwan Kim | Surgery | 7500 Kirby Dr, #1523, Houston, TX 77030-4300 | 2008-02-21 |
| 1194718114 | Justin M Kim | Optometrist | 130 Norris Ln, Boerne, TX 78006-2893 | 2005-08-24 |
| 1043810674 | Justin Kim | Social Worker | 426 Atlantic Ave, East Rockaway, NY 11518-1431 | 2020-11-01 |
| 1447858766 | Justin Yunouk Kim | Dentist | 301 E Buena Vista St, Barstow, CA 92311-2803 | 2020-10-09 |
| 1427669290 | Justin Kim | Dentist | 12218 Apple Valley Rd Ste 110, Apple Valley, CA 92308-1704 | 2020-08-13 |
| 1386128437 | Justin Sungmin Kim | Registered Nurse | 900 23rd St Nw, Washington, DC 20037-2342 | 2018-09-24 |
| Street Address |
505 E COMMONWEALTH AVE |
| City | FULLERTON |
| State | CA |
| Zip Code | 92832-4009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497962047 | Nicki Curran | Marriage & Family Therapist | 505 E Commonwealth Ave, Suite 200, Fullerton, CA 92832-2020 | 2007-05-16 |
| 1518501618 | Madeleine Mae Razo | Behavior Technician | 505 E Commonwealth Ave, Fullerton, CA 92832-4009 | 2019-10-31 |
| 1063056166 | Lauren Liu | Behavior Technician | 505 E Commonwealth Ave, Fullerton, CA 92832-4009 | 2019-10-31 |
| 1730723842 | Rhiannon Bernal | Behavior Technician | 505 E Commonwealth Ave, Fullerton, CA 92832-4009 | 2019-10-31 |
| 1467096578 | Ariel Galan | Behavior Technician | 505 E Commonwealth Ave, Fullerton, CA 92832-4009 | 2019-10-31 |
| 1760026876 | Victoria Hernandez | Behavior Technician | 505 E Commonwealth Ave, Fullerton, CA 92832-4009 | 2019-10-31 |
| 1801444567 | Sean Minutella | Behavior Technician | 505 E Commonwealth Ave, Fullerton, CA 92832-4009 | 2019-08-27 |
| 1083262745 | Austin Nash | Behavior Technician | 505 E Commonwealth Ave, Fullerton, CA 92832-4009 | 2019-08-27 |
| 1114571924 | Astrid Rosas | Behavior Technician | 505 E Commonwealth Ave, Fullerton, CA 92832-4009 | 2019-07-30 |
| 1154975969 | Jessica Ortega | Behavior Technician | 505 E Commonwealth Ave, Fullerton, CA 92832-4009 | 2019-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932735669 | Diana Hernandez | Behavior Technician | 413 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2020-03-13 |
| 1942830013 | Karen Marie Winkle | Speech-Language Pathologist | 812 Lois Lane, Fullerton, CA 92832 | 2020-01-17 |
| 1578122487 | Andrea Arevalo | Behavior Technician | 713 Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-06-13 |
| 1275090193 | Madison Elizabeth Miller | Behavior Technician | 714 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-02-27 |
| 1528525862 | Samantha Rivas | Behavior Technician | 713 W Commonwealth Ave., Suite C, Fullerton, CA 92832 | 2019-02-22 |
| 1760948483 | Marcus Gerard Chavez | Behavioral Analyst | 713 West Commonwealth Suite A, Fullerton, U.S.A 92832 | 2019-02-19 |
| 1710443437 | Rolando Jimenez | Behavior Technician | 713 W. Commonwealth, Suite A, La Habra, CA 92832 | 2019-02-18 |
| 1659872919 | Anthony James Arneson | Marriage & Family Therapist | 120 N Lawrence, Fullerton, CA 92832 | 2018-02-22 |
| 1407302243 | Be Well Pharmacy Inc | Pharmacy | 105 N Lawrence Ave, Fullerton, CA 92832 | 2016-08-31 |
| 1871907972 | Edward Walls | Counselor | 771 W.orangethorpe Ave., Fullerton, CA 92832 | 2014-06-17 |
| Find all providers in zip 92832 | ||||
| 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 |
|---|---|---|---|---|
| 1649879255 | Brittany Leandra Navarro | Behavior Technician | 354 E Ash Ave, Fullerton, CA 92832-2503 | 2020-10-23 |
| 1578160073 | Rachel Sayaka Ikeda | Behavior Technician | 555 N Commonwealth Ave # 3126, Fullerton, CA 92831-3602 | 2020-10-07 |
| 1932735669 | Diana Hernandez | Behavior Technician | 413 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2020-03-13 |
| 1821624669 | Jessica Ortega | Behavior Technician | 110 Thompson Ave, Fullerton, CA 92833-2831 | 2020-03-12 |
| 1053955849 | Nyasia Joiner | Behavior Technician | 2368 Camino Escondido, Fullerton, CA 92833-1542 | 2019-11-05 |
| 1578122487 | Andrea Arevalo | Behavior Technician | 713 Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-06-13 |
| 1942767611 | Yasmen Abuyousef | Behavior Technician | 714 W Commonweath Ave, Suite C, Fullerton, CA 92804 | 2019-02-28 |
| 1477010189 | Jessica Umali | Behavior Technician | 713 W Commonwealth Ave Ste B, Fullerton, CA 92832-1612 | 2019-02-28 |
| 1275090193 | Madison Elizabeth Miller | Behavior Technician | 714 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-02-27 |
| 1528525862 | Samantha Rivas | Behavior Technician | 713 W Commonwealth Ave., Suite C, Fullerton, CA 92832 | 2019-02-22 |
| Find all providers in FULLERTON | ||||
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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.