GENE KIM (NPI# 1700431343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700431343 |
| Entity Type | Individual |
| Full Name | GENE KIM |
| Practice Address |
780 Mcardle Dr Ste A Crystal Lake IL 60014-8155 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 7792206262 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134651706 | Gene Kim | Student in an Organized Health Care Education/Training Program | 155 N Fresno St, Fresno, CA 93701-2302 | 2017-04-01 |
| 1891172169 | Gene Young Kim | Radiology | 820 Harrison Ave Bldg 3, Boston, MA 02118-2905 | 2015-05-06 |
| 1033474820 | Gene Kim | Ophthalmology | 3400 Bainbridge Ave, Bronx, NY 10467-2404 | 2012-07-09 |
| 1639332372 | Gene Kim | Ophthalmology | 6400 Fannin St, Suite 1800, Houston, TX 77030-1521 | 2008-07-02 |
| 1598923005 | Gene Kim | Internal Medicine | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2008-05-30 |
| 1699976159 | Gene Yongjin Kim | Internal Medicine | 1 Shrader St Ste 550, San Francisco, CA 94117-1034 | 2007-05-30 |
| 1710106935 | Gene Woo Kim | Dentist | 1907 N Placentia Ave, Placentia, CA 92870-2201 | 2007-04-25 |
| 1316057243 | Gene Kim | Pharmacist | 100 E Main St, San Jacinto, CA 92583-4228 | 2006-08-30 |
| 1689783409 | Gene Kim | Internal Medicine | 1938 Peachtree Road Nw, Kaiser Permanente Hospital Services, Atlanta, GA 30309 | 2006-08-29 |
| 1194732925 | Gene C Kim | Internal Medicine | 2841 Lomita Blvd, Ste. 100, Torrance, CA 90505-5105 | 2006-08-02 |
| Street Address |
780 MCARDLE DR STE A |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-8155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841787363 | Samuel Nathan Krus | Behavioral Analyst | 780 Mcardle Dr Ste A, Crystal Lake, IL 60014-8155 | 2018-04-19 |
| 1730704859 | Valerie Bilins | Behavioral Analyst | 780 Mcardle Dr Ste A, Crystal Lake, IL 60014-8155 | 2020-06-15 |
| 1982230785 | Amber Freidalee Parker | Behavioral Analyst | 780 Mcardle Dr Ste A, Crystal Lake, IL 60014-8155 | 2020-03-12 |
| 1568000495 | Ashlynn Erdmann | Behavioral Analyst | 780 Mcardle Dr Ste A, Crystal Lake, IL 60014-8155 | 2019-12-10 |
| 1053956375 | Alison D Mackey | Behavioral Analyst | 780 Mcardle Dr Ste A, Crystal Lake, IL 60014-8155 | 2019-11-11 |
| 1619512126 | Christian Diore Ronquillo Castillo | Behavior Technician | 780 Mcardle Dr Ste A, Crystal Lake, IL 60014-8155 | 2019-11-08 |
| 1013551704 | Isaiah Di'jon Moore | Behavior Technician | 780 Mcardle Dr Ste A, Crystal Lake, IL 60014-8155 | 2019-11-05 |
| 1447803234 | Melissa Curiel | Behavioral Analyst | 780 Mcardle Dr Ste A, Crystal Lake, IL 60014-8155 | 2019-07-20 |
| 1508428467 | Qudaneeda Stephenson | Behavior Technician | 780 Mcardle Dr Ste A, Crystal Lake, IL 60014-8155 | 2019-07-01 |
| 1760043988 | Justina Thurmond | Behavioral Analyst | 780 Mcardle Dr Ste A, Crystal Lake, IL 60014-8155 | 2019-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| 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 |
|---|---|---|---|---|
| 1477112381 | Kristian Taylor Shaw | Behavior Technician | 828 Waterford Cut, Crystal Lake, IL 60014-8506 | 2019-06-13 |
| 1568923548 | Lauren V Hochberg | Behavior Technician | 1703 Cunningham Ln, Crystal Lake, IL 60014-1903 | 2019-03-30 |
| 1497241392 | Betrinna Eve Morici | Behavior Technician | 780 Mcardle Dr Ste Abc, Crystal Lake, IL 60014-8155 | 2018-07-03 |
| 1760972889 | Daniel Pegarsch | Behavior Technician | 163 Ellsworth St, Crystal Lake, IL 60014-4454 | 2018-05-14 |
| 1346739380 | Mackenzie L Parry | Behavior Technician | 562 Darlington Ln Apt 15, Crystal Lake, IL 60014-3206 | 2018-05-04 |
| 1720627573 | Cari Amber Sprott | Behavior Technician | 780 Mcardle Dr Ste Abc, Crystal Lake, IL 60014-8155 | 2019-12-26 |
| 1497393326 | Jessica Michele Escontrias | Behavior Technician | 780 Mcardle Dr Ste Abc, Crystal Lake, IL 60014-8155 | 2019-12-10 |
| 1619512126 | Christian Diore Ronquillo Castillo | Behavior Technician | 780 Mcardle Dr Ste A, Crystal Lake, IL 60014-8155 | 2019-11-08 |
| 1013551704 | Isaiah Di'jon Moore | Behavior Technician | 780 Mcardle Dr Ste A, Crystal Lake, IL 60014-8155 | 2019-11-05 |
| 1295378834 | Kate Belman | Behavior Technician | 780 Mcardle Dr Ste Abc, Crystal Lake, IL 60014-8155 | 2019-10-27 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
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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.