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Deactivated NPI 1801318886 Deactivated / Inactive NPI Female Practitioner

Jennifer Kim

Behavior Analyst • Mountlake Terrace, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jennifer Kim has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 12, 2017
NPI Deactivation Date April 23, 2018
Total Practice Duration ~1 Years of Practice (2017 – 2018)

Professional Overview & Biography Verified Profile Summary

Jennifer Kim was a registered Behavior Analyst practicing in Mountlake Terrace, WA. Throughout an active medical career spanning 1 years, Jennifer Kim provided care at the practice location at 6505 218TH ST SW STE 9 until profile deactivation on 2018-04-23.

Practice Location & Contact Primary Location

Practice Address

6505 218th St Sw Ste 9

Mountlake Terrace, WA 980432135

Telephone 4255631093

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Mountlake Terrace, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.5 Yrs
Regional Practice Density
60 Specialists

Practicing in Mountlake Terrace, WA (3007 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 Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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

18 Associated Practitioners
Ruth Field

Behavior Analyst

NPI 1003391400
Julie Oldfield

Behavior Analyst

NPI 1063923084
Angie Figueroa-Ghersi

Specialist/Technologist, Other - Electroneurodiagnostic

NPI 1144727769
Milianet Santiago , ABA

Behavior Analyst

NPI 1174010672
Ana Caballero

Behavior Analyst

NPI 1295203123
Breanna Thai

Behavior Analyst

NPI 1306358361

Career & Practice History Timeline

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

11 Historical Events
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Updated Practice Location February 19, 2019

Registered at 6505 218TH ST SW STE 9, MOUNTLAKE TERRACE, WA 980432135 (Tel: 4255631093)

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Updated Business Mailing Address February 19, 2019

Registered at 6505 218TH ST SW STE 9, MOUNTLAKE TERRACE, WA 980432135

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Provider Name / Credentials Updated February 19, 2019

Recorded as JENNIFER KIM

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

Behavior Analyst

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NPI Profile Deactivated April 23, 2018

Record deactivated on April 23, 2018

NPI Profile Active July 12, 2017

NPI status registered as active in NPPES database

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Updated Practice Location July 12, 2017

Registered at 6505 218TH ST SW STE 9, MOUNTLAKE TERRACE, WA 980432135 (Tel: 4255631093)

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Updated Business Mailing Address July 12, 2017

Registered at 6505 218TH ST SW STE 9, MOUNTLAKE TERRACE, WA 980432135

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Provider Name / Credentials Updated July 12, 2017

Recorded as JENNIFER KIM

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2017

Behavior Analyst

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Initial NPI Registration & Enumeration July 12, 2017

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: 1801318886
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2017
Last Update: February 19, 2019
Deactivation Date: April 23, 2018
Sole Proprietor: Yes

Mailing Address

6505 218th St Sw Ste 9

Mountlake Terrace, WA 980432135

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.