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Kimberly Michelle Kay, MFT intern, ABA

Behavior Analyst in Corona, CA. Individual provider (NPI-1).

NPI number1366097461
StatusActive
Last updated in NPPESAug 6, 2019

Details

NPI
1366097461
Entity type
Individual (NPI-1)
Name
Kimberly Michelle Kay
Credential
MFT intern, ABA
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 6, 2019
Last updated
Aug 6, 2019

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 codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

4195 Morales Way
Corona, CA 92883-0738

Phone 657-219-6181

Mailing address

4195 Morales Way
Corona, CA 92883-0738

Phone 657-219-6181

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.

Other Behavior Analyst providers in Corona, CA

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