Healthcare Provider Details

I. General information

NPI: 1023945995
Provider Name (Legal Business Name): J. LIM BEHAVIORAL CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5944 TRICKLING DESCENT ST UNIT 103
HENDERSON NV
89011-2098
US

IV. Provider business mailing address

5944 TRICKLING DESCENT ST UNIT 103
HENDERSON NV
89011-2098
US

V. Phone/Fax

Practice location:
  • Phone: 916-390-4899
  • Fax:
Mailing address:
  • Phone: 916-390-4899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH JO KOOK LIM
Title or Position: OWNER
Credential: BCBA
Phone: 916-390-4899