GINA SHIM BCBA
NPI 1174901631
Behavior Analyst in Glendale, CA

Q: What is Gina Shim's NPI number?

The NPI number for Gina Shim is 1174901631. It was assigned to this individual provider in the NPPES registry on May 15, 2015. The provider is also known as Gina Lee.

Q: What is Gina Shim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gina Shim was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 15, 2015

741 GLENVIA ST STE 200, GLENDALE, CA 91206(818) 241-6780(818) 241-6853 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gina Shim Bcba NPPES

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

GINA SHIM BCBA (NPI 1174901631) is an individual behavior analyst provider in Glendale, California, licensed in California (1-15-18158) and active in the NPI registry since May 2015. She maintains a secondary practice location in Sherman Oaks.

NPPES Registry Identity

NPI1174901631

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameGINA SHIMCredential: BCBA

Location Address741 GLENVIA ST STE 200Glendale, CA 91206-2425

Mailing Address206 N Jackson St Ste 202Glendale, CA 91206-4330 · (818) 241-6780 · Fax (818) 241-6853

Phone(818) 241-6780

Fax(818) 241-6853

Sole ProprietorNo

Enumeration DateMay 15, 2015

Last NPPES UpdateMarch 17, 2018

✔ NPI 1174901631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in CA · 1-15-18158

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.

741 GLENVIA ST STE 200, Glendale, CA 91206

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Other Names 1

Former Name (1)Gina Lee

Secondary Practice Location 1

Location 115315 Magnolia Blvd, 306Sherman Oaks, CA 91403-1173 · Phone (888) 353-8285 · Fax (877) 805-3084

Other Providers at the Same Location NPPES 20

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

ERICK SAC

Behavior Technician