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Emily Kim

Behavior Technician in Rancho Cucamonga, CA. Individual provider (NPI-1).

NPI number1194569764
StatusActive
Last updated in NPPESJun 19, 2024

Details

NPI
1194569764
Entity type
Individual (NPI-1)
Name
Emily Kim
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 19, 2024
Certification date
Jun 19, 2024
Last updated
Jun 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

8300 Utica Ave Ste 310
Rancho Cucamonga, CA 91730-3852

Phone 909-906-1505 · Fax 909-906-1508

Mailing address

8300 Utica Ave Ste 310
Rancho Cucamonga, CA 91730-3852

Phone 909-906-1505 · Fax 909-906-1508

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