Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164212221 Individual Practitioner Female Practitioner

Kimi Johnson

Behavior Analyst • Lakewood, NJ

Professional Overview & Biography Verified Profile Summary

Kimi Johnson is a registered healthcare professional specializing in Behavior Analyst in Lakewood, NJ. Practice services are available at 705 CROSS ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

705 Cross St

Lakewood, NJ 087014029

Telephone 5418081463

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Lakewood, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.8 Yrs
Regional Practice Density
453 Specialists

Practicing in Lakewood, NJ (3790 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: 2025-06-24
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License None BACB748483

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcba
BACB748483

Practice Associates & Co-Workers

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

1 Associated Practitioners
Tava Pham

Behavior Technician

NPI 1568211712

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 24, 2025

Registered at 705 CROSS ST, LAKEWOOD, NJ 087014029 (Tel: 5418081463)

📍
Updated Business Mailing Address June 24, 2025

Registered at 705 CROSS ST, LAKEWOOD, NJ 087014029 (Tel: 5418081463)

NPI Profile Active May 10, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location May 10, 2025

Registered at 7444 SKYLINE DR, SAN DIEGO, CA 921144621 (Tel: 5418081463)

📍
Updated Business Mailing Address May 10, 2025

Registered at 7444 SKYLINE DR, SAN DIEGO, CA 921144621 (Tel: 5418081463)

👤
Provider Name / Credentials Updated May 10, 2025

Recorded as KIMI JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2025

Behavior Analyst (License #BACB748483 in None)

🟢
Initial NPI Registration & Enumeration May 10, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kimi Johnson. Be the first to share your experience!

Sign in to leave a review for Kimi Johnson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1164212221
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2025
Last Update: June 24, 2025
Sole Proprietor: No

Mailing Address

705 Cross St

Lakewood, NJ 087014029

Phone: 5418081463

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.