Kimberly Nadal Acebedo

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-43711 Issued in CA

Practice address

1411 W 190TH St
Gardena, CA 90248-4324

Phone

(714) 834-1111

NPI assigned

Aug 22, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1700367380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18726 S WESTERN AVE STE 408",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902483858"
        },
        {
            "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": "714-834-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18726 S Western Ave Ste 408",
            "address_purpose": "LOCATION",
            "city": "Gardena",
            "state": "CA",
            "postal_code": "902483858",
            "country_code": "US",
            "telephone_number": "310-856-0800",
            "fax_number": "855-568-2494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACEBEDO",
        "first_name": "KIMBERLY",
        "middle_name": "NADAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "00003136",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-20-43711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard Abram
• Ky'Lee Alexandra Abrams
• Nora Nancy Abrego, NONE
• Crystal Abrica
• Georgette Abril
• Nathalie Aceituno
• Joni Rena Acerson, CAS
• Melisa Acevedo Ibarra
• Dejah Viani Acevedo
• Karla Jessenia Acevedo

• 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 Jan 3, 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.