Kimberly Lee
Behavior Technician in Encino, CA. Individual provider (NPI-1).
NPI number1962230482
StatusActive
Last updated in NPPESSep 3, 2024
Details
- NPI
- 1962230482
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Lee
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 25, 2024
- Certification date
- Sep 3, 2024
- Last updated
- Sep 3, 2024
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 |
| 103K00000X | Behavior Analyst | – | – |
Practice location
16500 Ventura Blvd Ste 414Encino, CA 91436-5050
Phone 818-788-1003
Mailing address
16500 Ventura Blvd Ste 414Encino, CA 91436-5050
Phone 818-788-1003
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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