SUSIE KIM
NPI 1720589443
Behavior Technician in San Jose, CA

Active since February 27, 2018
1835 PARK AVE, SAN JOSE, CA 95126(303) 989-8169 Get Directions Write a Review

NPPES record last updated: October 10, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 10, 2019, Feb 27, 2018 (2 updates tracked since 2018).

About Susie Kim NPPES

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

SUSIE KIM (NPI 1720589443) is an individual behavior technician in San Jose, California and active in the NPI registry since February 2018. She maintains a secondary practice location in San Jose.

NPPES Registry Identity

NPI1720589443
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameSUSIE KIM
Location Address1835 PARK AVESan Jose, CA 95126-1629
Mailing Address2075 La Miel CtCampbell, CA 95008-2608
Sole ProprietorNo
Enumeration DateFebruary 27, 2018
Last NPPES UpdateOctober 10, 20192 updates tracked since enumeration
NPI 1720589443 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.
1835 PARK AVE, San Jose, CA 95126

Secondary Practice Location 1

Location 14030 Moorpark Ave Ste 105San Jose, CA 95117-1848 · Phone (669) 444-5984

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
1835 PARK AVE
SAN JOSE, CA 95126
Behavior Analyst
1835 PARK AVE
SAN JOSE, CA 95126
Behavior Technician
1835 PARK AVE
SAN JOSE, CA 95126
Behavior Technician
1835 PARK AVE
SAN JOSE, CA 95126
Behavior Technician
1835 PARK AVE
SAN JOSE, CA 95126
Behavior Technician
1835 PARK AVE
SAN JOSE, CA 95126
Behavior Technician
1835 PARK AVE
SAN JOSE, CA 95126
Behavior Technician
1835 PARK AVE
SAN JOSE, CA 95126

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 Susie Kim's NPI number?

The NPI number for Susie Kim is 1720589443. It was assigned to this individual provider in the NPPES registry on February 27, 2018.

Where is Susie Kim located?

Susie Kim practices at 1835 Park Ave, San Jose, CA 95126. The listed phone number is (303) 989-8169.

What is Susie 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 Susie Kim was last updated on October 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.