Kimi Shimada
Individual provider Active NPI Behavior Analyst · Manhattan BCH, CA
NPI 1821553124 · NPPES record last updated Jan 31, 2019
Key facts
- NPI
- 1821553124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 1230 Rosecrans Ave Ste 250
Manhattan BCH, CA 90266-2496 - Phone
- (310) 406-1500
- NPI assigned
- Jan 31, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
1230 Rosecrans Ave Ste 250
Manhattan BCH, CA 90266-2496
Mailing address
7232 Bourbon LN
La Palma, CA 90623-1115
Phone (714) 757-2508
Other providers in Manhattan BCH, CA
All providers in Manhattan BCH, CA · Behavior Analyst in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.