Individual provider Active NPI

Kimberly Alice Kidney

  • Behavior Analyst
  • Malakoff, TX
National Provider Identifier
1033036355
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BHV-011112 Issued in TX
Practice address
214 N Terry St Ste B
Malakoff, TX 75148-9669
Phone
(903) 489-7014
NPI assigned
Jun 30, 2026
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-22-245291 TX
Behavior Analyst 103K00000X BHV-011112 TX Primary

Addresses

Primary practice location

214 N Terry St Ste B
Malakoff, TX 75148-9669

Mailing address

214 N Terry St Ste B
Malakoff, TX 75148-9669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BHV-011112TXMDBehavioral Analyst
RBT-22-245291TXMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1782777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1033036355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N TERRY ST STE B",
            "city": "MALAKOFF",
            "state": "TX",
            "postal_code": "751489669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N TERRY ST STE B",
            "city": "MALAKOFF",
            "state": "TX",
            "postal_code": "751489669",
            "telephone_number": "903-489-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDNEY",
        "first_name": "KIMBERLY",
        "middle_name": "ALICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-22-245291",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "BHV-011112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malakoff, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.