Kimberly C Cardinoza, BCCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

01-15-20625 Issued in NJ

Practice address

1159 Stockton PL
North Brunswick, NJ 08902-3238

Phone

(909) 635-1975

NPI assigned

Jun 11, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1497139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1598294639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 STOCKTON PL",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023238",
            "telephone_number": "909-635-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 STOCKTON PL",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023238",
            "telephone_number": "909-635-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDINOZA",
        "first_name": "KIMBERLY",
        "middle_name": "C",
        "credential": "BCCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "01-15-20625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in North Brunswick, NJ
• Providers in North Brunswick, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.