Kimberly Licea

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

555 Parkcenter Dr Ste 115
Santa Ana, CA 92705-3521

Phone

(714) 310-4377

NPI assigned

Feb 2, 2024

Last updated

Oct 12, 2025By 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 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• United Behavior Consultants

  • Behavior Analyst
  • Costa Mesa, CA
  • NPI 1356822787
  NPD (past)
• Vivid Minds Therapy LLC

  • Behavior Analyst
  • Fullerton, CA
  • NPI 1811659428
  NPD (past)

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760227200000",
    "number": "1669235438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17190 SAN MATEO ST APT H6",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083662",
            "telephone_number": "714-948-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 PARKCENTER DR STE 115",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053521",
            "telephone_number": "714-310-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICEA",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-02",
        "last_updated": "2025-10-12",
        "certification_date": "2025-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chunwen Liang
• Joanne Liang, MD
• Kimberly Liao
• Liberty Housing Service (New Start Detox)
• Liberty Housing Services Inc. (New Start)
• Timothy Lichte
• Richard Alfonso Licon, PA-C
• Jean M Liebhard, LMFT
• Monica Huyentran Lieu, PA
• Life Generations Healthcare LLC

• Behavior Technician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2025; 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.