Individual provider Active NPI

Kim Lerner Sullivan

  • Behavior Analyst
  • Escondido, CA
National Provider Identifier
1437663713
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-1934539 Issued in CA
Practice address
2430 Auto Park Way Ste 101
Escondido, CA 92029-1226
Phone
(176) 074-3118
NPI assigned
Nov 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 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 RBT-16-26762 CA
Behavior Analyst 103K00000X 1-1934539 CA Primary

Addresses

Primary practice location

2430 Auto Park Way Ste 101
Escondido, CA 92029-1226

Mailing address

2430 Auto Park Way Ste 101
Escondido, CA 92029-1226

Other practice location 1

5762 Bolsa Ave Ste 100
Huntington Beach, CA 92649-1172
Phone (714) 292-2322

Other practice location 2

4883 Ronson Ct Ste I
San Diego, CA 92111-1812
Phone (760) 294-1206

Other practice location 3

1926 Via Ctr Ste B
Vista, CA 92081-6056
Phone (760) 294-1206

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

State licenses

LicenseStateTypeSpecialty
1-1934539CAMDBehavioral Analyst
RBT-16-26762CAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Love 2 Learn Consulting LLC Behavior Technician CurrentSince Feb 1, 2024 Accepting new patients
Love 2 Learn Therapies Inc Behavior Analyst PastSince Feb 1, 2024 Accepting new patients

Locations

5762 Bolsa Ave
Ste 100
Huntington Beach, CA 92649
Phone (657) 244-0004

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": "1511654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1437663713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 AUTO PARK WAY STE 101",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920291226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 AUTO PARK WAY STE 101",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920291226",
            "telephone_number": "176-074-3118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5762 Bolsa Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926491172",
            "country_code": "US",
            "telephone_number": "714-292-2322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4883 Ronson Ct Ste I",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921111812",
            "country_code": "US",
            "telephone_number": "760-294-1206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1926 Via Ctr Ste B",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920816056",
            "country_code": "US",
            "telephone_number": "760-294-1206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KIM",
        "middle_name": "LERNER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-26",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-16-26762",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-1934539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.