Individual provider Active NPI

Kimberly Morales, BCBA

  • Behavior Analyst
  • Bakersfield, CA
National Provider Identifier
1770025462
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-16-21717 Issued in CA
Practice address
401 19TH St
Bakersfield, CA 93301-4907
Phone
(661) 496-0953
NPI assigned
Nov 11, 2016
Last updated
Mar 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.