STACEY KIM (NPI# 1710333067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710333067 |
| Entity Type | Individual |
| Full Name | STACEY KIM |
| Practice Address |
575 Bayview Ave Millbrae CA 94030-1107 |
| Practice Telephone | 4153078631 |
| Mailing Telephone | 4153078631 |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568936664 | Stacey R Kim | Behavior Technician | 1111 W 6th St Ste 111, Los Angeles, CA 90017-1823 | 2019-01-11 |
| 1841525565 | Stacey Kim | Social Worker | 600 N Jordan Ave, Indiana University Counseling and Psychological Service, Bloomington, IN 47405-3190 | 2009-10-14 |
| 1114123171 | Stacey Kim | Pathology | 8700 Beverly Blvd, South Tower, Room 8709, Los Angeles, CA 90048 | 2007-06-26 |
| Street Address |
575 BAYVIEW AVE |
| City | MILLBRAE |
| State | CA |
| Zip Code | 94030-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922571389 | Zeyu Wang | Acupuncturist | 201 El Camino Real, Millbrae, CA 94030 | 2019-01-09 |
| 1285143578 | Michele Marie Zlatunich | Doula | 105 Lerida Avenue, Millbrae, CA 94030 | 2017-09-29 |
| 1437677531 | Optica Optometry Corporation | Optometrist | 199a Taylor Boulevard, Millbrae, CA 94030 | 2017-09-08 |
| 1912445339 | Taylor Swift | Counselor | 222 Beverly Ave, Millbrae, CA 94030 | 2017-02-06 |
| 1932338381 | Randall Craig Medefesser | Dentist | 1149 Oakwood Drive, Millbrae, CA 94030 | 2009-07-07 |
| 1568678563 | Martin David Storman | Marriage & Family Therapist | 1250 Murchison Dr, Millbrae, CA 94030 | 2007-05-15 |
| 1730393703 | Tz-jeng Yang | Acupuncturist | 199 California Dr. Suite 120 B&c, Millbrae, CA 94030 | 2007-05-09 |
| 1538218748 | Christopher Joseph Bronzini | Dentist | 101 Taylor Blvd, Millbrae, CA 94030 | 2007-01-09 |
| 1427110519 | Xuehua Peng | Acupuncturist | 474 Ei Camino Real, Suite 418, Millbrae, CA 94030 | 2006-12-14 |
| 1861551723 | Maria Valerie Pozon De Leon | Dentist | 15 El Camino Real, Millbrae, CA 94030 | 2006-12-07 |
| Find all providers in zip 94030 | ||||
| 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 |
|---|---|---|---|---|
| 1184060154 | Marisa Chang | Behavioral Analyst | 37 Cozzolino Dr, Millbrae, CA 94030-1301 | 2013-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073334 | Asha Aba, LLC | Behavioral Analyst | 4201 Vincente St, Fremont, CA 94536-4512 | 2020-11-07 |
| 1225639305 | Tanisha Grant | Behavioral Analyst | 4592 Warner Ave, Huntington Beach, CA 92649 | 2020-11-04 |
| 1306446109 | Andrea Huizar | Behavioral Analyst | 10236 Fern Ave, Stanton, CA 90680-1711 | 2020-10-29 |
| 1932709730 | Kathleen Brock Murphy | Behavioral Analyst | 4456 Manzanita Ave Ste 2, Clearlake, CA 95422-7200 | 2020-10-29 |
| 1932709003 | Jazmin Ramirez | Behavioral Analyst | 10415 San Luis Ave, South Gate, CA 90280-6627 | 2020-10-28 |
| 1194325548 | Valeria Del Rocio Temblador | Behavioral Analyst | 510 N Mcdonnell Ave, East Los Angeles, CA 90022-1111 | 2020-10-27 |
| 1114527561 | Miriam Soledad Bautista | Behavioral Analyst | 1060 Chinquapin Ave Apt 3, Carlsbad, CA 92008-3539 | 2020-10-27 |
| 1922607449 | Martin Johns | Behavioral Analyst | 11618 Wake Cir, Cypress, CA 90630-5547 | 2020-10-26 |
| 1962001552 | Leandra Barisoff | Behavioral Analyst | 13920 City Center Dr # 219, Chino Hills, CA 91709-5432 | 2020-10-23 |
| 1740889617 | Kolby James Losik | Behavioral Analyst | 19219 Coliseum Ln, Marina, CA 93933-5232 | 2020-10-21 |
| 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.