NPI 1700367380 · live from the CMS NPI Registry
Kimberly Nadal Acebedo
Behavior Analyst in Gardena, CA. National Provider Identifier 1700367380, active.
NPI record
| NPI | 1700367380 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1411 W 190th St, Gardena, CA 90248 |
| Practice phone | 714-834-1111 |
| Mailing address | 18726 S Western Ave Ste 408, Gardena, CA 90248 |
| Enumerated | August 22, 2018 |
| Last updated | January 3, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | 00003136 (CA) |
| Behavior Analyst primary | 103K00000X | 1-20-43711 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.