Amanda Kim

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

1-16-24737 Issued in CA

Practice address

6330 Variel Ave
Suite 102
Woodland Hills, CA 91367-2543

Phone

(818) 657-1111

Fax

(818) 758-8015

NPI assigned

Jan 6, 2017

Last updated

Jan 6, 2017By the provider in NPPES

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

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1093251605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST",
            "address_2": "SUITE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913674976",
            "telephone_number": "818-345-2345",
            "fax_number": "818-758-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 VARIEL AVE",
            "address_2": "SUITE 102",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672543",
            "telephone_number": "818-657-1111",
            "fax_number": "818-758-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "CA",
            "license": "1-16-24737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleck Koichi Kido
• Kids Therapy Otr Inc (Kids Therapy)
• Kids Therapy Otr Inc (Kids Therapy)
• Marwa W Kilani, MD
• Kennedy Isabella Kilpatrick
• Christina Kim
• Esther C Kim, CRNA
• Eunice Seyoung Kim
• Grace Yujin Kim, MFTI
• Henry Hyungjoo Kim, LAC

• Assistant Behavior Analyst in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Assistant Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.