Mariel Anjeline Kang, MA, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA0820 Issued in NV

Practice address

7260 W Azure Dr Ste 140-44
Las Vegas, NV 89130-7999

Phone

(702) 789-7282

NPI assigned

Dec 21, 2017

Last updated

Oct 13, 2023By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1437665742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7260 W AZURE DR STE 140-44",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891307999",
            "telephone_number": "702-789-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7260 W AZURE DR STE 140-44",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891307999",
            "telephone_number": "702-789-7282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7373 University Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919420524",
            "country_code": "US",
            "telephone_number": "619-713-0737",
            "fax_number": "619-639-8277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Palomar Airport Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920111028",
            "country_code": "US",
            "telephone_number": "858-226-2660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANG",
        "first_name": "MARIEL ANJELINE",
        "credential": "MA, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-21",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0820",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-22-61537",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "15-10904",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyeonji Kang
• Hyunwoong Kang, DO
• Jeemin Kang, DO
• Ji Kang, PHARMD
• Kunku Kang
• Parminder S Kang, MD
• Sarah Kang
• Sarayah Kang, MS OTR/L
• Sunjung Kang
• Terry John Kang, PHARMD

• Behavior Analyst in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.