Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica Kim

Individual provider Behavior Analyst · NPI 1265196810

Jessica Kim is a Behavior Analyst in Lauderdale Lakes, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

4620 N State Road 7 Ste 300
Lauderdale Lakes, FL 33319-5867
Phone: (561) 335-5681
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 38 Home Pl Apt 6, Bergenfield, NJ 07621-1760 — (201) 693-2534

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 12147165 (NJ)
Behavior Analyst Taxonomy 103K00000X

Record details

NPI number1265196810
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 28, 2021
Last updated in NPPESOctober 16, 2023
Certification dateOctober 16, 2023
Mailing address316a E Ruby Ave, Palisades Park, NJ 07650-4911

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