Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649736265 Individual Practitioner Female Practitioner

Soo Kim , MS

Behavior Analyst • Garden Grove, CA

Professional Overview & Biography Verified Profile Summary

Soo Kim, MS is a registered healthcare professional specializing in Behavior Analyst in Garden Grove, CA. Practice services are available at 12465 LEWIS ST STE 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12465 Lewis St Ste 102

Garden Grove, CA 928404658

Telephone 8552237123
Associated Practice Facility / Clinic
🏢 Aces 2020, Llc Facility NPI 1467520452

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Garden Grove, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
204 Specialists

Practicing in Garden Grove, CA (20508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-16
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License CA 1-22-62832

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kristin Lundbohm , BCBA

Behavior Analyst

NPI 1003150509

Board Certified Behavior Analyst

NPI 1003203175

Master of Arts, Board Certified Behavior Analyst

Anjelica Sanchez

Behavior Analyst

NPI 1003204694
Rachel Hernandez

Behavior Analyst

NPI 1003293796
Kathryn Laski

Behavior Analyst

NPI 1003309501
Therese Ticzon

Behavior Technician

NPI 1003317702

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location June 16, 2026

Registered at 12465 LEWIS ST STE 102, GARDEN GROVE, CA 928404658 (Tel: 8552237123)

📍
Updated Business Mailing Address June 16, 2026

Registered at PO BOX 740780, ATLANTA, GA 303740780 (Tel: 8552237123)

👤
Provider Name / Credentials Updated June 16, 2026

Recorded as SOO KIM, MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2026

Behavior Analyst (License #1-22-62832 in CA)

📍
Updated Practice Location January 10, 2023

Registered at 1901 CARNEGIE AVE STE 1C, SANTA ANA, CA 927055504 (Tel: 8002734292)

📍
Updated Business Mailing Address January 10, 2023

Registered at 11037 WARNER AVE # 339, FOUNTAIN VALLEY, CA 927084007 (Tel: 7148488319)

👤
Provider Name / Credentials Updated January 10, 2023

Recorded as SOO (AMY) KIM, MS

NPI Profile Active February 19, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location February 19, 2019

Registered at 12443 LEWIS ST STE 201, GARDEN GROVE, CA 928404650 (Tel: 7147484440)

📍
Updated Business Mailing Address February 19, 2019

Registered at 12443 LEWIS ST STE 201, GARDEN GROVE, CA 928404650 (Tel: 7147484440)

👤
Provider Name / Credentials Updated February 19, 2019

Recorded as SOO KIM, MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2019

Behavior Technician

🟢
Initial NPI Registration & Enumeration February 19, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649736265
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 19, 2019
Last Update: June 16, 2026
Sole Proprietor: No

Mailing Address

Po Box 740780

Atlanta, GA 303740780

Phone: 8552237123

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.