Active NPI
Kimberly Morales, BCBA
- Behavior Analyst
- Bakersfield, CA
National Provider Identifier
1770025462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-16-21717
- Practice address
- 401 19TH St
Bakersfield, CA 93301-4907 - Phone
- (661) 496-0953
- NPI assigned
- Nov 11, 2016
- Last updated
- Mar 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-16-21717 | CA | Primary |
Addresses
Primary practice location
401 19TH St
Bakersfield, CA 93301-4907
Mailing address
1253 W 116TH Ave # 11-107
Westminster, CO 80234-3298
Phone (661) 496-0953
Other practice location 1
11001 W 120th Ave Ste 400
Broomfield, CO 80021-3493
Phone (303) 731-9076
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inclusion Behavioral Health LLC | Behavior Analyst | Current | Accepting new patients |
Locations
11001 W 120th Ave
Ste 400
Broomfield, CO 80021
Phone (720) 372-3680
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1770025462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1253 W 116TH AVE # 11-107",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "802343298",
"telephone_number": "661-496-0953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 19TH ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933014907",
"telephone_number": "661-496-0953"
}
],
"practiceLocations": [
{
"address_1": "11001 W 120th Ave Ste 400",
"address_purpose": "LOCATION",
"city": "Broomfield",
"state": "CO",
"postal_code": "800213493",
"country_code": "US",
"telephone_number": "303-731-9076",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORALES",
"first_name": "KIMBERLY",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-11",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-16-21717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.