Soyeon Kang

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1107476 Issued in NU

Practice address

1 University Sta
D5300, Dept of Special Ed
Austin, TX 78712-0803

Phone

(512) 232-7160

NPI assigned

Feb 4, 2012

Last updated

Feb 4, 2012By 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

Other identifiers 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": "1328313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328313600000",
    "number": "1356613459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 STONELAKE BLVD",
            "address_2": "APT.735",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595940",
            "telephone_number": "512-626-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY STA",
            "address_2": "D5300, DEPT OF SPECIAL ED",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787120803",
            "telephone_number": "512-232-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "SOYEON",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-04",
        "last_updated": "2012-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1107476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CPH AND ASSOCIATES",
            "identifier": "PHCPE107137",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie M Kane, CCC-SLP
• Mindy M. Kanewske, LCSW
• June-Ku Kang, MD
• Sook Jung Kang, F.N.P.
• Sookja Kang
• Kelsey Anne Kangos, PHD
• Linda Jeanne Kangos, RN, MSN, CPNP
• Peter Alexis Kangos, M.D.
• Shabnoor Kanji, BCBA
• Julia Kanoff

• 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 Feb 4, 2012; 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.