Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOO KIM MS
NPI 1649736265
Behavior Analyst in Garden Grove, CA

Q: What is Soo Kim's NPI number?

The NPI number for Soo Kim is 1649736265. It was assigned to this individual provider in the NPPES registry on February 19, 2019. The provider is also known as Amy Kim Ms.

Q: What is Soo 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 Soo Kim was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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 February 19, 2019

12465 LEWIS ST STE 102, GARDEN GROVE, CA 92840(855) 223-7123 Get Directions Write a Review

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

Record update history: Jan 10, 2023, Feb 19, 2019 (2 updates tracked since 2019).

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About Soo Kim Ms NPPES

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

SOO KIM MS (NPI 1649736265) is an individual behavior analyst provider in Garden Grove, California, licensed in California (1-22-62832) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1649736265

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameSOO KIMCredential: MS

Location Address12465 LEWIS ST STE 102Garden Grove, CA 92840-4658

Mailing AddressPo Box 740780Atlanta, GA 30374-0780 · (855) 223-7123 · Fax (619) 374-7134

Phone(855) 223-7123

Sole ProprietorNo

Enumeration DateFebruary 19, 2019

Last NPPES UpdateJune 16, 20262 updates tracked since enumeration

NPPES CertifiedJune 16, 2026

✔ NPI 1649736265 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 · 1-22-62832

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.

12465 LEWIS ST STE 102, Garden Grove, CA 92840

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Other Names 1

Other Name (5)Amy Kim Ms

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.

RYAN ELIZABETH-ROSE FISH

Behavior Technician