KEONWOO KIM
NPI 1235839879
Behavior Technician in Fullerton, CA

Active since March 02, 2023
807 W GLENWOOD CIR, FULLERTON, CA 92832(714) 461-1478 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keonwoo Kim NPPES

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

KEONWOO KIM (NPI 1235839879) is an individual behavior technician in Fullerton, California and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1235839879
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameKEONWOO KIM
Location Address807 W GLENWOOD CIRFullerton, CA 92832-1017
Mailing Address7108 S Kanner HwyStuart, FL 34997-7462
Sole ProprietorYes
Enumeration DateMarch 2, 2023
NPPES CertifiedMarch 2, 2023
NPI 1235839879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
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.
807 W GLENWOOD CIR, Fullerton, CA 92832

Other Providers at the Same Location NPPES

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

Prevention Professional
807 W GLENWOOD CIR
FULLERTON, CA 92832

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 Keonwoo Kim's NPI number?

The NPI number for Keonwoo Kim is 1235839879. It was assigned to this individual provider in the NPPES registry on March 2, 2023.

Where is Keonwoo Kim located?

Keonwoo Kim practices at 807 W Glenwood Cir, Fullerton, CA 92832. The listed phone number is (714) 461-1478.

What is Keonwoo Kim's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Keonwoo Kim was last updated on March 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.