Provider Demographics
NPI:1033697065
Name:WEST, KIMBERLEY AAREN (M ED, BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:KIMBERLEY
Middle Name:AAREN
Last Name:WEST
Suffix:
Gender:F
Credentials:M ED, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8180 SIEGEN LN
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-1914
Mailing Address - Country:US
Mailing Address - Phone:225-757-8002
Mailing Address - Fax:
Practice Address - Street 1:8180 SIEGEN LN
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-1914
Practice Address - Country:US
Practice Address - Phone:225-757-8002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-01
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAL-312103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst