STACEY R KIM
NPI 1568936664
Behavior Technician in Los Angeles, CA

Active since January 11, 2019
1111 W 6TH ST STE 111, LOS ANGELES, CA 90017(323) 404-1027(323) 340-8298 Get Directions Write a Review

NPPES record last updated: January 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey R Kim NPPES

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

STACEY R KIM (NPI 1568936664) is an individual behavior technician in Los Angeles, California and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1568936664
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameSTACEY R KIM
Location Address1111 W 6TH ST STE 111Los Angeles, CA 90017-1823
Mailing Address625 Fair Oaks Ave Ste 200South Pasadena, CA 91030-2694 · (323) 341-5580 · Fax (323) 340-8298
Fax(323) 340-8298
Sole ProprietorNo
Enumeration DateJanuary 11, 2019
NPI 1568936664 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.
1111 W 6TH ST STE 111, Los Angeles, CA 90017

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.

Behavior Analyst
1111 W 6TH ST STE 111
LOS ANGELES, CA 90017
Occupational Therapist (Pediatrics)
1111 W 6TH ST STE 111
LOS ANGELES, CA 90017
Behavior Analyst
1111 W 6TH ST STE 111
LOS ANGELES, CA 90017
Licensed Vocational Nurse
1111 W 6TH ST STE 111
LOS ANGELES, CA 90017
Licensed Vocational Nurse
1111 W 6TH ST STE 111
LOS ANGELES, CA 90017
Speech-Language Pathologist
1111 W 6TH ST STE 111
LOS ANGELES, CA 90017
Physical Therapist (Pediatrics)
1111 W 6TH ST STE 111
LOS ANGELES, CA 90017
Speech-Language Pathologist
1111 W 6TH ST STE 111
LOS ANGELES, CA 90017

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 Stacey Kim's NPI number?

The NPI number for Stacey Kim is 1568936664. It was assigned to this individual provider in the NPPES registry on January 11, 2019.

Where is Stacey Kim located?

Stacey Kim practices at 1111 W 6th St Ste 111, Los Angeles, CA 90017. The listed phone number is (323) 404-1027.

What is Stacey 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 Stacey Kim was last updated on January 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.