Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124535265 Individual Practitioner Female Practitioner

Kennedy Simon

Behavior Technician • San Diego, CA

Professional Overview & Biography Verified Profile Summary

Kennedy Simon is a registered healthcare professional specializing in Behavior Technician in San Diego, CA. Practice services are available at 7090 MIRATECH DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7090 Miratech Dr

San Diego, CA 92121

Telephone 9497488571
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in San Diego, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.3 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
8107 Specialists

Practicing in San Diego, 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.

Secondary Practice Locations

2750 E Washington Blvd Ste 230

Pasadena, CA 911071449

Phone: 6262968900

Practice Associates & Co-Workers

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

40 Associated Practitioners
Lisa Brown

Behavior Technician

NPI 1003681156
Jennifer Jolin

Behavior Technician

NPI 1003699653
Rebecca Graham

Occupational Therapist

NPI 1013747906
Nolan Marshall

Behavior Technician

NPI 1013752021
Amethyst Ibarra

Behavior Technician

NPI 1013798974
Ralph Clark

Behavior Technician

NPI 1023824828

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location May 02, 2019

Registered at 7090 MIRATECH DR, SAN DIEGO, CA 92121 (Tel: 9497488571)

📍
Updated Business Mailing Address May 02, 2019

Registered at 7090 MIRATECH DR, SAN DIEGO, CA 921213109 (Tel: 9497488571)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2019

Behavior Technician

NPI Profile Active January 10, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 10, 2018

Registered at 2750 E WASHINGTON BLVD STE 230, PASADENA, CA 911071449 (Tel: 6262968900)

📍
Updated Business Mailing Address January 10, 2018

Registered at 2750 E WASHINGTON BLVD STE 230, PASADENA, CA 911071449 (Tel: 6262968900)

👤
Provider Name / Credentials Updated January 10, 2018

Recorded as KENNEDY SIMON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2018

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration January 10, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1124535265
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2018
Last Update: May 02, 2019
Sole Proprietor: Yes

Mailing Address

7090 Miratech Dr

San Diego, CA 921213109

Phone: 9497488571

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.