Kind Intervention Direct Services, Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

KIND INTERVENTION DIRECT SERVICES, INC.

Practice address

6 Centerpointe Dr Ste 700
La Palma, CA 90623

Phone

(562) 455-4477

NPI assigned

Jul 25, 2019

Last updated

Sep 13, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberley PakNPI 1972026953

Title

Bcba

Phone

(562) 455-4477

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberley Pak

  • Behavior Analyst
  • La Palma, CA
  • NPI 1972026953
  Authorized official Same address or phone

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568332800000",
    "number": "1427602747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CENTERPOINTE DR STE 700",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906232545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CENTERPOINTE DR STE 700",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "90623",
            "telephone_number": "562-455-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIND INTERVENTION DIRECT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-09-13",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "562-455-4477"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan W Kim, MD
• Jongjin Kim, M.D.
• Sang Yup Kim, D.P.M
• Sun Hui Kim, R.PH.
• Sunghee Park Kim
• Jaime Cherise Kirchner, M.A., ED.S., PPS
• Jodie Marie Knott, PHD
• Howard Koh, OTR/L
• John S. Kokonas, D.C.
• Komberg Chiropractic

• Behavior Analyst in La Palma, CA
• Providers in La Palma, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.