Active NPI
Kimberly Hermosura
- Behavior Analyst
- Yukon, OK
National Provider Identifier
1225460629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-16-24610
- Practice address
- 520 Pointe Parkway Blvd
Yukon, OK 73099-0600 - Phone
- (855) 782-7822
- NPI assigned
- Aug 7, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-16-24610 | CA | Primary |
Addresses
Primary practice location
520 Pointe Parkway Blvd
Yukon, OK 73099-0600
Mailing address
520 Pointe Parkway Blvd
Yukon, OK 73099-0600
Phone (855) 782-7822
Other practice location 1
27240 Turnberry Ln
Ste 240
Valencia, CA 91355-1029
Phone (661) 254-7086
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Learning Center | Past | Accepting new patients | |
| Monarch Behavioral Therapy Bii, LLC | Behavior Analyst | Past | Accepting new patients |
| Behavioral Learning Center, Inc | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Valencia, CA
- NPI 1437493749
-
- Behavior Analyst
- Valencia, CA
- NPI 1477897163
-
dba Behavioral Innovations
- Behavior Analyst
- Columbia, MD
- NPI 1043456296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1225460629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 POINTE PARKWAY BLVD",
"city": "YUKON",
"state": "OK",
"postal_code": "730990600",
"telephone_number": "855-782-7822",
"fax_number": "972-850-0265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 POINTE PARKWAY BLVD",
"city": "YUKON",
"state": "OK",
"postal_code": "730990600",
"telephone_number": "855-782-7822"
}
],
"practiceLocations": [
{
"address_1": "27240 Turnberry Ln",
"address_2": "Ste 240",
"address_purpose": "LOCATION",
"city": "Valencia",
"state": "CA",
"postal_code": "913551029",
"country_code": "US",
"telephone_number": "661-254-7086",
"fax_number": "661-254-7108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERMOSURA",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-07",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-16-24610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.