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Hae Kim

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

NPI number1295536712
StatusActive
Last updated in NPPESMar 20, 2025

Details

NPI
1295536712
Entity type
Individual (NPI-1)
Name
Hae Kim
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 20, 2025
Certification date
Mar 20, 2025
Last updated
Mar 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Other names

  • Jenny Haejin Kim (Other Name)

Practice location

801 Corporate Center Dr Ste 210
Pomona, CA 91768-2627

Phone 909-618-0974

Mailing address

1514 High Bluff Dr
Diamond Bar, CA 91765-2630

Phone 714-457-8060

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