Jung Sun Sunny Kim, PH.D., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-9524 Issued in CA

Practice address

5402 Coke Ave
Lakewood, CA 90712-1626

Phone

(415) 328-2226

NPI assigned

Dec 15, 2016

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

• Sunny Kim Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Sunny'S Behavior Services, Inc

  • Behavior Analyst
  • Lakewood, CA
  • NPI 1164013918
  NPD Authorized official
• Vriends Corp

  • Behavior Analyst
  • Lakewood, CA
  • NPI 1255922829
  NPD Authorized official

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645228800000",
    "number": "1508300112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 COKE AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121626",
            "telephone_number": "415-328-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 COKE AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121626",
            "telephone_number": "415-328-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JUNG SUN",
        "middle_name": "SUNNY",
        "credential": "PH.D., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-15",
        "last_updated": "2022-02-19",
        "certification_date": "2022-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-14-9524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.vriends.com",
            "affiliation": "N",
            "address_1": "5402 Coke Ave",
            "city": "Lakewood",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907121626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUNNY",
            "last_name": "KIM",
            "credential": "PH.D., BCBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cleveland Key
• Khai H. Tran, D.D.S., Inc.
• Hibah Khan
• Haeyun Kim Lee
• Brandi Kim
• Kenny Kim, DDS
• Kevin Kim, DPT
• Man Kim
• Rachel Kim
• Rick Tae Kim, DDS

• Behavior Analyst in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2022; 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.