Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568936664 Individual Practitioner Female Practitioner

Stacey R Kim

Behavior Technician • Los Angeles, CA

Professional Overview & Biography Verified Profile Summary

Stacey Kim is a registered healthcare professional specializing in Behavior Technician in Los Angeles, CA. Practice services are available at 1111 W 6TH ST STE 111 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1111 W 6th St Ste 111

Los Angeles, CA 900171823

Telephone 3234041027
Fax 3233408298

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Los Angeles, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
4980 Specialists

Practicing in Los Angeles, CA (172337 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

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

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

26 Associated Practitioners
Amber Pool , MA, BCBA

Behavior Analyst

NPI 1003151465

Master of Arts, Board Certified Behavior Analyst

Mary Navolanic , MOT

Occupational Therapist

NPI 1154549186

Master of Occupational Therapy

Miladys Rivas , MS, OTR, L

Occupational Therapist - Pediatrics

NPI 1154550887

Master of Science, Occupational Therapist Registered, L

Maureen Fachler , CCC-SLP

Speech-Language Pathologist

NPI 1225267875

Speech-Language Pathologist (Certificate of Clinical Competence)

Rosa Schwartz , MA CCC-SLP

Speech-Language Pathologist

NPI 1245551605

MACCCSLP

Cynthia Clark

Speech-Language Pathologist

NPI 1265737761

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 11, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 11, 2019

Registered at 1111 W 6TH ST STE 111, LOS ANGELES, CA 900171823 (Tel: 3234041027)

📍
Updated Business Mailing Address January 11, 2019

Registered at 625 FAIR OAKS AVE STE 200, SOUTH PASADENA, CA 910302694 (Tel: 3233415580)

👤
Provider Name / Credentials Updated January 11, 2019

Recorded as STACEY KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2019

Behavior Technician

🟢
Initial NPI Registration & Enumeration January 11, 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: 1568936664
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2019
Last Update: January 11, 2019
Sole Proprietor: No

Mailing Address

625 Fair Oaks Ave Ste 200

South Pasadena, CA 910302694

Phone: 3233415580

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.