MINJI KIM (NPI# 1558889311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558889311 |
| Entity Type | Individual |
| Full Name | MINJI KIM |
| Practice Address |
15600 Redmond Way Ste 205 Redmond WA 98052-3862 |
| Practice Telephone | 4252420973 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |
| Gender Code | F |
| 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 |
|---|---|---|---|---|
| 1043824485 | Minji Kim | Student in an Organized Health Care Education/Training Program | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2020-09-02 |
| 1861991119 | Minji Kim | Community Health Worker | 3051 Main Street, Anaktuvuk Pass, AK 99721 | 2018-02-01 |
| 1134507411 | Minji Kim | Behavioral Analyst | 13405 Saddle Back Pass, Austin, TX 78738-6147 | 2015-05-07 |
| 1720424591 | Minji Kim | Psychiatry & Neurology | 920 Royal Ave, Medford, OR 97504-6169 | 2013-05-20 |
| Street Address |
15600 REDMOND WAY STE 205 |
| City | REDMOND |
| State | WA |
| Zip Code | 98052-3862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154733665 | Nathaniel Lewis | Behavioral Analyst | 15600 Redmond Way Ste 205, Suite 205, Redmond, WA 98052-3862 | 2014-06-02 |
| 1154828333 | Katelyn Morris | Behavioral Analyst | 15600 Redmond Way Ste 205, Redmond, WA 98052-3862 | 2018-04-12 |
| 1982120820 | Chris Fascenda | Behavioral Analyst | 15600 Redmond Way Ste 205, Redmond, WA 98052-3862 | 2017-08-22 |
| 1902321011 | Bishnupriya Majumdar | Behavior Technician | 15600 Redmond Way Ste 205, Redmond, WA 98052-3862 | 2017-08-09 |
| 1871042184 | Jill Suzanne Germain | Behavior Technician | 15600 Redmond Way Ste 205, Redmond, WA 98052-3862 | 2016-09-27 |
| 1609225309 | Han Joo Kim | Behavioral Analyst | 15600 Redmond Way Ste 205, Redmond, WA 98052-3862 | 2016-06-03 |
| 1295147700 | Elisa Gablehouse | Behavioral Analyst | 15600 Redmond Way Ste 205, Redmond, WA 98052-3862 | 2014-06-02 |
| 1427460948 | Susan Chalker | Behavioral Analyst | 15600 Redmond Way Ste 205, Redmond, WA 98052-3862 | 2014-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396301255 | Saraa Abdulateef | Dentist | 16150 Ne 85th St., #212, Redmond, WA 98052 | 2019-05-16 |
| 1174186837 | Zeinab Birjandian | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 98052 | 2019-04-18 |
| 1023584026 | Washington Dental Corporation, PC | Dentist | 17126 Redmond Way, Redmond, WA 98052 | 2018-10-17 |
| 1275047599 | Simeon P Roth | Pharmacist | 8547 Avondale Road Ne, Redmond, WA 98052 | 2017-11-22 |
| 1427560267 | Rania Abou Shadi | Pharmacy | 8862 161st Avenue Ne, Suite 102, Redmond, WA 98052 | 2017-11-02 |
| 1376068981 | Mark W Debourke | Clinic/Center | 7579 Old Redmond Rd, Apt 6, Redmond, WA 98052 | 2017-08-04 |
| 1740712280 | Hyomi Cho | Dentist | 15165 Ne24 Th St, Redmond, WA 98052 | 2017-04-03 |
| 1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
| 1346797933 | Bridger Griffin | Speech-Language Pathologist | 8301 16st Ave Ne, Redmond, WA 98052 | 2016-09-01 |
| 1508313123 | Austin Schieler | Pharmacist | 14480 Ne 24th Street, Redmond, WA 98052 | 2016-09-01 |
| Find all providers in zip 98052 | ||||
| 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 |
|---|---|---|---|---|
| 1871144840 | Kaylie Piver | Behavior Technician | 15803 Bear Creek Pkwy Unit E406, Redmond, WA 98052-4875 | 2019-09-21 |
| 1568920536 | Taylir Mae Wills | Behavior Technician | 944 Nw Oak Pl, Redmond, OR 97756-1083 | 2019-03-07 |
| 1104390251 | Tobi Ann Lentz | Behavior Technician | 6224 E Lake Sammamish Pkwy Ne Apt 112, Redmond, WA 98052-6134 | 2019-01-11 |
| 1639680671 | Royleane Elizabeth Otteson | Behavior Technician | 8906 236th Ave Ne, Redmond, WA 98053-1982 | 2017-10-17 |
| 1902321011 | Bishnupriya Majumdar | Behavior Technician | 15600 Redmond Way Ste 205, Redmond, WA 98052-3862 | 2017-08-09 |
| 1871042184 | Jill Suzanne Germain | Behavior Technician | 15600 Redmond Way Ste 205, Redmond, WA 98052-3862 | 2016-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234815 | Elizabeth Swanson | Behavior Technician | 1225 Commerce Ave Apt 206, Longview, WA 98632-3042 | 2020-11-01 |
| 1255930830 | Carlyann M Reinmuth | Behavior Technician | 404a 120th St S, Tacoma, WA 98444-5214 | 2020-10-23 |
| 1235738345 | Cheyenne Stefano | Behavior Technician | 1722 138th Pl Ne Ste 200, Bellevue, WA 98005-2367 | 2020-10-20 |
| 1316546542 | Brittnie Nichole Jensen | Behavior Technician | 821 126th Street Ct E, Tacoma, WA 98445-2916 | 2020-10-19 |
| 1003414418 | Jillian J Scott | Behavior Technician | 1722 138th Pl Ne, Bellevue, WA 98005-2367 | 2020-10-16 |
| 1720686975 | Katherine E Stark | Behavior Technician | 4173 Greenfish Dr Apt C, Silverdale, WA 98315-9474 | 2020-10-10 |
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1508473703 | Katie Lee Mccann | Behavior Technician | 631 Strander Blvd Ste F, Tukwila, WA 98188-2963 | 2020-09-30 |
| 1407463870 | Andrea F Serrano | Behavior Technician | 7317 S Wilkeson St, Tacoma, WA 98408-1222 | 2020-09-29 |
| 1194332965 | Surya Kirsten Murthy | Behavior Technician | 4548 17th Ave Ne, Seattle, WA 98105-4204 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
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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.