EUNJI KONG


Address: 11504 Alton Manor Dr, Bakersfield, CA 93312-7071
Phone: 8886182327

EUNJI KONG (NPI# 1104386333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104386333
Entity Type Individual
Full Name EUNJI KONG
Credential MA
Practice Address 11504 Alton Manor Dr
Bakersfield
CA 93312-7071
Mailing Address 8780 19th St Unit 398
Alta Loma
CA 91701-4608
Practice Telephone 8886182327
Practice Fax Number 8889182327
Mailing Telephone 8886182327
Mailing Fax Number 8889182327
Enumeration Date 2019-03-22
Last Update Date 2019-03-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Office Location

Street Address 11504 ALTON MANOR DR
City BAKERSFIELD
State CA
Zip Code 93312-7071

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114574225 Arielle San Antonio Behavior Technician 8302 Expresso Drive, Suite 100, Bakersfield, CA 93312 2019-08-22
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1992054092 H. Norman Wright Counselor 12200 April Ann Ave, Bakersfield, CA 93312 2012-09-05
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255982815 Morgan Farmer Behavioral Analyst 5329 Office Center Ct Ste 150, Bakersfield, CA 93309-7403 2019-09-25
1972158897 Lisa Marie Gonzalez Behavioral Analyst 3815 Europa Ln, Bakersfield, CA 93312-6511 2019-08-07
1295391258 Sierra Sandra-faye Myers-caldarella Behavioral Analyst 8302 Expresso Dr., Suite 100, Bakersfield, CA 93312 2019-05-15
1467912691 Karina Villarreal Behavioral Analyst 5611 Laurel Canyon Dr, Bakersfield, CA 93313-5217 2019-03-22
1558825794 Maritza Romero-ramon Behavioral Analyst 901 Tower Way Ste 304&306, Bakersfield, CA 93309-1585 2019-01-22
1659847051 Cheyanne Sagasta Behavioral Analyst 2600 Rose Marie Dr, Bakersfield, CA 93304-4259 2018-10-23
1679069579 Mitchell Dewayne Medley Behavioral Analyst 7300 Ming Ave, Bakersfield, CA 93309-3492 2018-07-03
1487140331 Kalli J Beckwith Behavioral Analyst 15108 Sage Vineyard Ct, Bakersfield, CA 93314-4735 2018-07-03
1881189298 Simran Randhawa Behavioral Analyst 4707 Whitegate Ave, Bakersfield, CA 93313 2018-06-27
1386133593 Maurina Krystal Fanous Behavioral Analyst 6204 Galanos Ct, Bakersfield, CA 93313-5103 2018-05-02
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Competitor

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City BAKERSFIELD
Zip Code 93312

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Dataset Information

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.

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