Individual provider Active NPI

Kimberly Corbett

  • Behavior Analyst
  • San Jose, CA
National Provider Identifier
1316441512
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-45316
Practice address
1054 S de Anza Blvd Ste 105
San Jose, CA 95129-3553
Phone
(408) 320-5139
NPI assigned
Mar 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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
Behavior Analyst 103K00000X 1-20-45316 Primary

Addresses

Primary practice location

1054 S de Anza Blvd Ste 105
San Jose, CA 95129-3553

Mailing address

935 Calle Diablo CT
Brentwood, CA 94513-6516
Phone (925) 642-0070

Other practice location 1

877 Ygnacio Valley Rd Ste 100
Walnut Creek, CA 94596-3897
Phone (925) 482-3330

Other practice location 2

1054 S De Anza Blvd Ste 105
San Jose, CA 95129-3553
Phone (408) 320-5139

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

OrganizationSpecialtyStatusNew patients
First Steps for Kids, Inc. Past Accepting new patients
Firststeps for Kids Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1316441512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 CALLE DIABLO CT",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945136516",
            "telephone_number": "925-642-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 S DE ANZA BLVD STE 105",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293553",
            "telephone_number": "408-320-5139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "877 Ygnacio Valley Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945963897",
            "country_code": "US",
            "telephone_number": "925-482-3330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1054 S De Anza Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951293553",
            "country_code": "US",
            "telephone_number": "408-320-5139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORBETT",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-20-45316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.