JENNIE KIM MA
NPI 1811596174
Behavior Analyst in Greenwood Village, CO

Q: What is Jennie Kim's NPI number?

The NPI number for Jennie Kim is 1811596174. It was assigned to this individual provider in the NPPES registry on October 19, 2020.

Q: What is Jennie 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 Jennie Kim was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 19, 2020

6041 S SYRACUSE WAY STE 250, GREENWOOD VILLAGE, CO 80111(888) 428-3223 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 20, 2022, Mar 9, 2022, Oct 19, 2020 (3 updates tracked since 2020).

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About Jennie Kim Ma NPPES

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

JENNIE KIM MA (NPI 1811596174) is an individual behavior analyst provider in Greenwood Village, Colorado, licensed in California (1-22-58717) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1811596174

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameJENNIE KIMCredential: MA

Location Address6041 S SYRACUSE WAY STE 250Greenwood Village, CO 80111-4744

Mailing Address4221 Wilshire Blvd Ste 300aLos Angeles, CA 90010-3537 · (888) 428-3223 · Fax (323) 866-1881

Phone(888) 428-3223

Sole ProprietorNo

Enumeration DateOctober 19, 2020

Last NPPES UpdateDecember 20, 20223 updates tracked since enumeration

NPPES CertifiedDecember 20, 2022

✔ NPI 1811596174 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 · 1-22-58717

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.

6041 S SYRACUSE WAY STE 250, Greenwood Village, CO 80111

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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.

JENNA BRISON

Behavior Technician