Kyong A Shock

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1355 Garden of the Gods Rd Ste 150
Colorado Springs, CO 80907-3595

Phone

(719) 212-6535

NPI assigned

Aug 10, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mga Behavior Therapy LLC

  • Community/Behavioral Health Agency
  • Colorado Springs, CO
  • NPI 1780252858
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1003544735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 HARTELL DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809113512",
            "telephone_number": "719-318-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 GARDEN OF THE GODS RD STE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073595",
            "telephone_number": "719-212-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOCK",
        "first_name": "KYONG",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Shirley
• Lisa Megumi Shishkin
• Donald L Shive, MA, LPC
• Brigette S Shiveley, LMT
• Sy'Mone Alexis Shivvers
• Shockney and Associates, Inc.
• Edwin Allen Shockney, PHD, LPC
• Samantha Shofner
• Samantha Sholts, LPC
• Daniel Shonebarger, DO

• Behavior Technician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Behavior Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.