Elizabeth J Kim, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-13-12911 Issued in CA

Practice address

26565 Agoura Rd # 119
Calabasas, CA 91302-1984

Phone

(310) 612-4220

NPI assigned

Sep 18, 2015

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1093184152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26565 AGOURA RD # 119",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021984",
            "telephone_number": "310-612-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26565 AGOURA RD # 119",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021984",
            "telephone_number": "310-612-4220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23455 Candlewood Way",
            "address_purpose": "LOCATION",
            "city": "West Hills",
            "state": "CA",
            "postal_code": "913071414",
            "country_code": "US",
            "telephone_number": "310-612-4220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-13-12911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Calabasas",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "26565 West Agoura Road #119",
            "city": "Calabasas",
            "state": "CA",
            "country_code": "US",
            "postal_code": "91302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Manya Khoddami, PSYD & LMFT
• Kayla Khoramian
• Ferial Khorassani-Farrokhi, PHARMD
• Aimen Khouraki, PSY.D.
• Cara Kiff, PHD
• Hannah Kim
• Kimberley Quinlan a Marriage and Family Therapy Corporation
• Kindred Care Inc
• Roberta Lee Kirchner
• Stephanie Ann Kirschner, M.S.,L.M.F.T.

• Behavior Analyst in Calabasas, CA
• Providers in Calabasas, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.