Individual provider Active NPI

Jessica Kim, MS

  • Behavior Analyst
  • Huntington Beach, CA
National Provider Identifier
1841671088
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-33349 Issued in CA
Practice address
7751 Glencoe Dr
Huntington Beach, CA 92647-4132
Phone
(714) 786-6069
NPI assigned
Jun 13, 2015
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 94029928 CA
Behavior Analyst 103K00000X 1-18-33349 CA Primary

Addresses

Primary practice location

7751 Glencoe Dr
Huntington Beach, CA 92647-4132

Mailing address

13501 Sandhurst PL
Santa Ana, CA 92705-2741

Other practice location 1

4740 Von Karman Ave Ste 120
Newport Beach, CA 92660-2172
Phone (949) 910-3197

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Functions, Inc CurrentSince Jul 22, 2025 Accepting new patients
Allied Psychological Services, P.C. PastSince Jul 1, 2024 Accepting new patients

Locations

3033 HBR Blvd Ste B10
Costa Mesa, CA 92626

3303 Harbor Blvd
Ste B10
Costa Mesa, CA 92626
Phone (714) 786-6069

Organizations & group practices 2

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": "1434153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1841671088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13501 SANDHURST PL",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927052741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7751 GLENCOE DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474132",
            "telephone_number": "714-786-6069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4740 Von Karman Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926602172",
            "country_code": "US",
            "telephone_number": "949-910-3197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JESSICA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-13",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "94029928",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-18-33349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; 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.