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KIMBERLY CLAYRE CORTES VILLAVICENCIO
NPI 1114504917
Behavior Analyst in San Bruno, CA

Active since March 26, 2021
517 ACACIA AVE, SAN BRUNO, CA 94066(650) 787-6667 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 27, 2025, Dec 6, 2023, Mar 26, 2021 (3 updates tracked since 2021).

About Kimberly Clayre Cortes Villavicencio NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY CLAYRE CORTES VILLAVICENCIO (NPI 1114504917) is an individual behavior analyst provider in San Bruno, California, licensed in California (1-23-69986) and active in the NPI registry since March 2021. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114504917
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameKIMBERLY CLAYRE CORTES VILLAVICENCIO
Location Address517 ACACIA AVESan Bruno, CA 94066-4221
Mailing Address517 Acacia AveSan Bruno, CA 94066-4221 · (408) 616-0569
Phone(650) 787-6667
Sole ProprietorNo
Enumeration DateMarch 26, 2021
Last NPPES UpdateJune 27, 20253 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
✔ NPI 1114504917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in CA · 1-23-69986
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.
Also ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-19-92768 (CA)
517 ACACIA AVE, San Bruno, CA 94066
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1400 W Ventura Blvd Ste 230Camarillo, CA 93010-9142 · Phone (858) 264-5858
Location 22421 Portola RdVentura, CA 93003-8046 · Phone (801) 614-2587

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAGOP ROUCHANIAN BCBA
Behavior Analyst
517 ACACIA AVE
SAN BRUNO, CA 94066
San Mateo County (650) 787-6667
ISABELLE SY LAM
Behavior Technician
517 ACACIA AVE
SAN BRUNO, CA 94066
San Mateo County (650) 787-6667
MARIA DE JESUS VILLANUEVA BEHAVIORAL THERAPIST
Behavior Analyst
517 ACACIA AVE
SAN BRUNO, CA 94066
San Mateo County (650) 332-8770
HANNAH SIDES
Behavior Technician
517 ACACIA AVE
SAN BRUNO, CA 94066
San Mateo County (650) 787-6667
HOPE FOR OHANA, LLC
Behavior Analyst
517 ACACIA AVE
SAN BRUNO, CA 94066
San Mateo County (650) 787-6667
BRITTANY CARDOZA
Behavior Analyst
517 ACACIA AVE
SAN BRUNO, CA 94066
San Mateo County (650) 922-6672
NAOMI ONGJANCO
Behavior Analyst
517 ACACIA AVE
SAN BRUNO, CA 94066
San Mateo County (818) 510-2625
JHOVILYNNE-APRIL ROSANA VINAS
Behavior Analyst
517 ACACIA AVE
SAN BRUNO, CA 94066
San Mateo County (818) 241-6780

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Cortes Villavicencio's NPI number?

The NPI number for Kimberly Cortes Villavicencio is 1114504917. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Kimberly Cortes Villavicencio located?

Kimberly Cortes Villavicencio practices at 517 Acacia Ave, San Bruno, CA 94066. The listed phone number is (650) 787-6667.

What is Kimberly Cortes Villavicencio's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Kimberly Cortes Villavicencio accept?

Health plans from Providence Health Plan list Kimberly Cortes Villavicencio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Cortes Villavicencio was last updated on June 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.