Kodii Church

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

312 S Juniper St Ste 202
Escondido, CA 92025-4998

Phone

(888) 428-3223

Fax

(323) 866-1881

NPI assigned

Sep 8, 2020

Last updated

Sep 1, 2021By 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 2

Addresses

Other identifiers 1

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": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1528673480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 WILSHIRE BLVD STE 300A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103537",
            "telephone_number": "888-428-3223",
            "fax_number": "323-866-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S JUNIPER ST STE 202",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254998",
            "telephone_number": "888-428-3223",
            "fax_number": "323-866-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "KODII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR HEALTH",
            "identifier": "RBT",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juliet Christensen, LMFT
• Patti Jo Christensen, MSW
• Christian R Small MD a Professional Corporation (Headlands Addiction Treatment Services)
• Cathleen Christianson, LVN
• Patricia Christie, M.D
• Robert Lee Church, CADC
• Lisa Michele Ciccarelli, M.F.T., M.S.
• Walter Alexander Cichocki
• Jonathan Cifuentes
• Circle of Care Hospice LLC

• Assistant Behavior Analyst in Escondido, CA
• Providers in Escondido, CA by specialty
• Assistant Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.