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JI SOO CHUNG
NPI 1295490258
Behavior Analyst in Costa Mesa, CA

Active since November 04, 2021
3202 VERMONT AVE, COSTA MESA, CA 92626(213) 447-6057 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 14, 2022, Nov 4, 2021 (2 updates tracked since 2021).

About Ji Soo Chung NPPES

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

JI SOO CHUNG (NPI 1295490258) is an individual behavior analyst provider in Costa Mesa, California, licensed in California (1-22-58504) and active in the NPI registry since November 2021. She maintains a secondary practice location in Orange.

NPPES Registry Identity

NPI1295490258
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameJI SOO CHUNG
Location Address3202 VERMONT AVECosta Mesa, CA 92626-2224
Mailing Address3202 Vermont AveCosta Mesa, CA 92626-2224 · (213) 447-6057
Phone(213) 447-6057
Sole ProprietorYes
Enumeration DateNovember 4, 2021
Last NPPES UpdateJuly 14, 20222 updates tracked since enumeration
NPPES CertifiedJuly 14, 2022
✔ NPI 1295490258 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 · 1-22-58504
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
3202 VERMONT AVE, Costa Mesa, CA 92626
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Secondary Practice Location 1

Location 1140 S Flower St Ste 100Orange, CA 92868-3467 · Phone (714) 683-5876

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 Ji Soo Chung's NPI number?

The NPI number for Ji Soo Chung is 1295490258. It was assigned to this individual provider in the NPPES registry on November 4, 2021.

Where is Ji Soo Chung located?

Ji Soo Chung practices at 3202 Vermont Ave, Costa Mesa, CA 92626. The listed phone number is (213) 447-6057.

What is Ji Soo Chung's specialty?

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

When was this NPI record last updated?

The NPPES record for Ji Soo Chung was last updated on July 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.