JESSICA KIM
NPI 1265196810
Behavior Analyst in Lauderdale Lakes, FL

Q: What is Jessica Kim's NPI number?

The NPI number for Jessica Kim is 1265196810. It was assigned to this individual provider in the NPPES registry on October 28, 2021.

Q: What is Jessica Kim'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 Jessica Kim was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 October 28, 2021

4620 N STATE ROAD 7 STE 300, LAUDERDALE LAKES, FL 33319(561) 335-5681 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jessica Kim NPPES

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

JESSICA KIM (NPI 1265196810) is an individual behavior analyst provider in Lauderdale Lakes, Florida, licensed in New Jersey (12147165) and active in the NPI registry since October 2021. She maintains a secondary practice location in Bergenfield.

NPPES Registry Identity

NPI1265196810

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameJESSICA KIM

Location Address4620 N STATE ROAD 7 STE 300Lauderdale Lakes, FL 33319-5867

Mailing Address316a E Ruby AvePalisades Park, NJ 07650-4911 · (201) 693-2534

Phone(561) 335-5681

Sole ProprietorYes

Enumeration DateOctober 28, 2021

Last NPPES UpdateOctober 16, 2023

NPPES CertifiedOctober 16, 2023

✔ NPI 1265196810 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 NJ · 12147165

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.

4620 N STATE ROAD 7 STE 300, Lauderdale Lakes, FL 33319

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Secondary Practice Location 1

Location 138 Home Pl Apt 6Bergenfield, NJ 07621-1760 · Phone (201) 693-2534

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.

DR. NOREEN COMMELLA PSY.D.

Psychologist (Clinical)