Individual provider · NPI-1
Kimberly Nadal Acebedo
Behavior Analyst · Gardena, CA
NPI number1700367380
StatusActive
Last updated in NPPESJan 3, 2022
Details
- NPI
- 1700367380
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Nadal Acebedo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2018
- Certification date
- Jan 3, 2022
- Last updated
- Jan 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-20-43711 | CA | Yes |
| 106S00000X | Behavior Technician | 00003136 | CA |
Practice location
1411 W 190th StGardena, CA 90248-4324
Phone 714-834-1111
Mailing address
18726 S Western Ave Ste 408Gardena, CA 90248-3858
Other practice locations
18726 S Western Ave Ste 408
Gardena, CA 90248-3858
Gardena, CA 90248-3858
Phone 310-856-0800 · Fax 855-568-2494
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