MINJI KIM (NPI# 1134507411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134507411 |
| Entity Type | Individual |
| Full Name | MINJI KIM |
| Practice Address |
13405 Saddle Back Pass Austin TX 78738-6147 |
| Mailing Address |
401 Little Texas Ln. Apt. 315 Austin TX 78745 |
| Practice Telephone | 9564839902 |
| Mailing Telephone | 9564839902 |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-15-17948 | 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 |
| 1558889311 | Minji Kim | Behavior Technician | 15600 Redmond Way Ste 205, Redmond, WA 98052-3862 | 2017-08-31 |
| 1720424591 | Minji Kim | Psychiatry & Neurology | 920 Royal Ave, Medford, OR 97504-6169 | 2013-05-20 |
| Street Address |
13405 SADDLE BACK PASS |
| City | AUSTIN |
| State | TX |
| Zip Code | 78738-6147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356595904 | Autism Spectrum Instructional Resources, LLC | Community/Behavioral Health | 13405 Saddle Back Pass, Austin, TX 78738-6149 | 2008-11-10 |
| 1720433873 | Nathan Pullen | Behavioral Analyst | 13405 Saddle Back Pass, Austin, TX 78738-6149 | 2016-04-26 |
| 1497165351 | Nicolette Sammarco Caldwell | Behavioral Analyst | 13405 Saddle Back Pass, Austin, TX 78738-6149 | 2014-04-30 |
| 1255751863 | Autism Spectrum Instructional Resources | Behavioral Analyst | 13405 Saddle Back Pass, Austin, TX 78738-6149 | 2014-04-22 |
| 1134466816 | Jaime Thompson | Behavioral Analyst | 13405 Saddle Back Pass, Austin, TX 78738-6149 | 2013-01-14 |
| 1639431299 | Laura Kelley Rojeski | Behavioral Analyst | 13405 Saddle Back Pass, Austin, TX 78738-6149 | 2012-06-11 |
| 1659657393 | Allison Gouris | Behavioral Analyst | 13405 Saddle Back Pass, Austin, TX 78738-6149 | 2011-10-26 |
| 1174854848 | Kristi Swice | Behavioral Analyst | 13405 Saddle Back Pass, Austin, TX 78738-6149 | 2010-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841808987 | Innovative Sports Therapy LLC | Clinic/Center | 3932-a Rr 620 S., Bee Cave, TX 78738 | 2020-07-15 |
| 1447807839 | Texas Physical Therapy Specialists | Durable Medical Equipment & Medical Supplies | 101 Medical Parkway, Suite 110, Lakeway, TX 78738 | 2019-08-21 |
| 1831744101 | Laurel Brynne Boyd | Physical Therapist | 2501 Rr 620, Suite 140, Lakeway, TX 78738 | 2019-08-05 |
| 1033777404 | Maria Wesley-pinion Lcsw Csat Pllc | Social Worker | 2802 Flintorock Trace, Suite B101, Lakeway, TX 78738 | 2019-05-31 |
| 1801362637 | Iq Dental Pllc | Dentist | 15511 State Highway 71 West, Suite # 120, Bee Cave, TX 78738 | 2018-10-19 |
| 1790264687 | Doctx3 Pllc | Orthopaedic Surgery | 11514 Bee Caves Rd., Suite 130, Bee Cave, TX 78738 | 2018-08-10 |
| 1710479530 | Herbert A Fritsche Jr. | Pathology | 12117 Bee Caves Road, Building 3 Suite 100, Austin, TX 78738 | 2018-06-06 |
| 1518456417 | Chemist Laboratory LLC | Pharmacy | 3944 Ranch Road 620s, Bldg 6, Bee Cave, TX 78738 | 2018-05-07 |
| 1700397809 | Katrina Balangue | Speech-Language Pathologist | 3595 Ranch Road 620 S Unit 220, Austin, TX 78738 | 2017-10-16 |
| 1013468586 | Muve - Lakeway Ambulatory Surgical Center, LLC | Clinic/Center | 5329 Serene Hills Drive, Suite 100, Lakeway, TX 78738 | 2016-10-20 |
| Find all providers in zip 78738 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325522 | Sridivya Pattisam | Behavioral Analyst | 1215 W Slaughter Ln Apt 534, Austin, TX 78748-6709 | 2020-10-26 |
| 1942817200 | Songbird Health Tx LLC | Behavioral Analyst | 1401 Lavaca St, Austin, TX 78701-1634 | 2020-09-29 |
| 1962020099 | Mayra Cristina Barreda | Behavioral Analyst | 2000 Cedar Bend Dr Apt 1134, Austin, TX 78758-5351 | 2020-07-06 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1326677212 | Tx Mc Sprout 1 LLC | Behavioral Analyst | 5323 Levander Loop, Austin, TX 78702-5146 | 2020-04-03 |
| 1922632405 | Little Light Aba, LLC | Behavioral Analyst | 6001 W Parmer Ln Ste 370 #3064, Austin, TX 78727 | 2020-02-24 |
| 1417580648 | Ashley K Bloodworth | Behavioral Analyst | 2100 Kramer Ln Ste 300, Austin, TX 78758-4094 | 2020-02-17 |
| 1376173013 | Haley Erin Van Klompenburg | Behavioral Analyst | 5700 S Mo Pac Expy Ste 310, Austin, TX 78749-1457 | 2020-01-22 |
| 1386282630 | Kourtney Souza | Behavioral Analyst | 1500 S Lamar Blvd Apt 2015, Austin, TX 78704-2944 | 2019-12-18 |
| 1447891098 | Vision Aba | Behavioral Analyst | 6205 Adel Cv, Austin, TX 78749-1656 | 2019-10-04 |
| Find all providers in AUSTIN | ||||
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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.