Hyun Soo (Lisa) Kim
Behavior Technician in Santa Ana, CA. Individual provider (NPI-1).
NPI number1164043873
StatusActive
Last updated in NPPESMay 6, 2020
Details
- NPI
- 1164043873
- Entity type
- Individual (NPI-1)
- Name
- Hyun Soo (Lisa) Kim
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 4, 2020
- Certification date
- May 6, 2020
- Last updated
- May 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – |
Practice location
2428 N Grand Ave Ste KSanta Ana, CA 92705-8708
Phone 657-294-5113
Mailing address
2428 N Grand Ave Ste KSanta Ana, CA 92705-8708
Phone 657-294-5113
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