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

Kimberly Clayre Cortes Villavicencio

Individual provider Behavior Technician · NPI 1114504917

Kimberly Clayre Cortes Villavicencio is a Behavior Technician in San Bruno, California. Works from 3 locations. Licensed in California.

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

517 Acacia Ave
San Bruno, CA 94066-4221
Phone: (650) 787-6667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 400 W Ventura Blvd Ste 230, Camarillo, CA 93010-9142 — (858) 264-5858
  • 2421 Portola Rd, Ventura, CA 93003-8046 — (801) 614-2587

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-23-69986 (CA)
Behavior Technician Taxonomy 106S00000X · Licence RBT-19-92768 (CA)

Record details

NPI number1114504917
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 26, 2021
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025

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