Kasin Wong

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BCBA1-23-65010

Practice address

1411 W 190TH St
Gardena, CA 90248-4324

Phone

(310) 719-3908

NPI assigned

Sep 2, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Milestone Behavioral Associates

  • Behavior Analyst
  • Kirkland, WA
  • NPI 1710124995
  NPD (past)

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709942400000",
    "number": "1578010880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11415 NE 128TH ST",
            "address_2": "SUITE 40",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W 190TH ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484324",
            "telephone_number": "310-719-3908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11415 NE 128th St",
            "address_2": "Suite 40",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980346314",
            "country_code": "US",
            "telephone_number": "425-307-1815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "KASIN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-02",
        "last_updated": "2024-03-09",
        "certification_date": "2024-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "BCBA1-23-65010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arissa Witherow
• Women Blessing Women
• Darren Wong
• Eugene K Wong, PHARM. D
• Gina Hu Wong, PT, DPT, OCS
• Natalie Wong
• Suzie Malaca Wong, DDS
• Aimee Sarahi Wood
• Ryan Wood
• Cheryl R Woodruff, INTERN MFT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2024; 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.