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Kyle White , BCaBA

Behavior Analyst β€’ Hermosa Beach, CA

Active NPI 1093228462 Individual Practitioner Male Practitioner
Practice location in NPPES

2615 Pacific Coast Hwy
Hermosa Beach, CA 902542225

Call 8332232326 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2615 Pacific Coast Hwy

Hermosa Beach, CA 902542225

Telephone 8332232326
Organization at the Same NPPES Address or Phone
Martha B. Koo, M.d., Ltd. Facility NPI 1487848404

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Hermosa Beach and California

50 active clinicians are listed under Behavior Analyst with a practice address in Hermosa Beach, CA (20,363 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Hermosa Beach

0% of these 50 clinicians have the CMS telehealth indicator.

0% of these 50 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-01-25
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES CA 1-17-28217

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.

Assistant Behavior Analyst

NUCC Taxonomy Code: 106E00000X

License # reported to NPPES CA 0-17-7943

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Hyunjib Kim , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1659097459

Psychiatric-Mental Health Nurse Practitioner

Dr. Martha Koo , MD

Psychiatry & Neurology - Psychiatry

NPI 1497899728

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location January 25, 2022

Registered at 2615 PACIFIC COAST HWY, HERMOSA BEACH, CA 902542225 (Tel: 8332232326)

βœ…
NPI Profile Active November 08, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 08, 2017

Registered at 2080 N TUSTIN AVE STE B, SANTA ANA, CA 927057875 (Tel: 8555810100)

πŸ“
Business Mailing Address (Initial Record) November 08, 2017

Registered at 2080 N TUSTIN AVE STE B, SANTA ANA, CA 927057875 (Tel: 8555810100)

πŸ‘€
Provider Name / Credentials (Initial Record) November 08, 2017

Recorded as KYLE WHITE, BCABA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2017

Assistant Behavior Analyst (license number reported to NPPES: CA 0-17-7943)

🟒
Initial NPI Registration & Enumeration November 08, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1093228462
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2017
Last Update: January 25, 2022
Sole Proprietor: Yes

Mailing Address

2080 N Tustin Ave Ste B

Santa Ana, CA 927057875

Phone: 8555810100

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.