Kimberlee Ann Shawcroft, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-26-2847813 Issued in CA

Practice address

2867 Havasupai Ave
San Diego, CA 92117-1640

Phone

(619) 268-6276

NPI assigned

Nov 20, 2020

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 names 1

• Miss Kimberlee Ann Linn Former name

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": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1417550435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2867 HAVASUPAI AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921171640",
            "telephone_number": "619-268-6276",
            "fax_number": "888-955-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2867 HAVASUPAI AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921171640",
            "telephone_number": "619-268-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAWCROFT",
        "first_name": "KIMBERLEE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-26-2847813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLEE",
            "last_name": "LINN",
            "middle_name": "ANN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Ann Shaw, BA
• Sandy Shaw, PHD
• Sharmon Faye Shaw
• Shushila Shaw, DDS
• Susanna Janes Shaw
• Evan Shawler
• Audrey Astarr Shawley, MD
• Shawn Slayton, M.D. Inc.
• Shawyan Yazdanmehr DDS PC
• Dennis C. Shay, M.D.

• Behavior Technician in San Diego, CA
• Providers in San Diego, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.