Tae Kim
Behavior Technician in Aurora, CO. Individual provider (NPI-1).
NPI number1831994789
StatusActive
Last updated in NPPESFeb 14, 2025
Details
- NPI
- 1831994789
- Entity type
- Individual (NPI-1)
- Name
- Tae Kim
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 14, 2025
- Certification date
- Feb 14, 2025
- Last updated
- Feb 14, 2025
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
3762 S Dallas StAurora, CO 80014-7246
Phone 720-771-3019
Mailing address
3762 S Dallas StAurora, CO 80014-7246
Phone 720-771-3019
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 848 Behavior Technician providers in Aurora · All 21,396 providers in Aurora
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