James Francis Kidwell, M.A, BCBA, CCC, AAC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-12-10512 Issued in WA

Practice address

12040 98TH Ave NE
Suite 205
Kirkland, WA 98034-4290

Phone

(425) 890-4981

NPI assigned

Aug 26, 2013

Sex

Male

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

Credentials

Master of Arts

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1700210804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9515 NE 120TH ST",
            "address_2": "L201",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980348906",
            "telephone_number": "425-890-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12040 98TH AVE NE",
            "address_2": "SUITE 205",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344290",
            "telephone_number": "425-890-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDWELL",
        "first_name": "JAMES",
        "middle_name": "FRANCIS",
        "credential": "M.A, BCBA, CCC, AAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "1-12-10512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Artem Khodzhiev
• Shiva Khosravi Moghadam, RPH
• Lara M Khoury
• Daneal Khurl
• Yizu Tesfai Kibreab
• John Mackenzie Kier
• Jessica Kiernan
• Robert B. Kierstein, DPM
• H. Lee Kilburn, MD
• Rodd A Kiliany, PT,OT, CHT

• Behavior Analyst in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.