Kimberly Joyce Woo
Behavior Technician in Garden Grove, CA. Individual provider (NPI-1).
NPI number1104784685
StatusActive
Last updated in NPPESJan 13, 2026
Details
- NPI
- 1104784685
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Joyce Woo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 13, 2026
- Certification date
- Jan 13, 2026
- Last updated
- Jan 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
12459 Lewis St Ste 201Garden Grove, CA 92840-6606
Phone 800-249-1266
Mailing address
12459 Lewis St Ste 201Garden Grove, CA 92840-6606
Phone 800-249-1266
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 2,260 Behavior Technician providers in Garden Grove · All 5,773 providers in Garden Grove
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