Kimberly Ellison De Jong, M.S., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

15905 Chateau Ave
Austin, TX 78734-2639

Phone

(240) 418-2233

Fax

(301) 263-6870

NPI assigned

Mar 22, 2012

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397779200000",
    "number": "1033485123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15905 CHATEAU AVENUE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78734",
            "telephone_number": "240-418-2233",
            "fax_number": "301-263-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15905 CHATEAU AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787342639",
            "telephone_number": "240-418-2233",
            "fax_number": "301-263-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JONG",
        "first_name": "KIMBERLY",
        "middle_name": "ELLISON",
        "name_prefix": "Mrs.",
        "credential": "M.S., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-22",
        "last_updated": "2014-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Libby De Franco, BS NUTRITION
• Patricia De Freitas Pinheiro
• Irene Ruth De Gutierrez
• Rachel Joy De Haan, RBT
• Brittni De Hoyos, RN
• Berenice De la Cruz, M.S., BCBA
• Yajaira De la Espada
• Ashley May De la Fuente
• Marcela De la Fuente, PH.D
• Angela De la Garza

• Behavior Analyst in Austin, TX
• Providers in Austin, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; 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.