Soyoung Kim
Behavior Technician in Ontario, CA. Individual provider (NPI-1).
NPI number1366043598
StatusActive
Last updated in NPPESNov 4, 2020
Details
- NPI
- 1366043598
- Entity type
- Individual (NPI-1)
- Name
- Soyoung Kim
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 4, 2020
- Certification date
- Nov 4, 2020
- Last updated
- Nov 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CA | Yes |
Practice location
3200 E Guasti Rd Ste 100Ontario, CA 91761-8661
Phone 909-304-1039
Mailing address
3200 E Guasti Rd Ste 100Ontario, CA 91761-8661
Phone 909-304-1039
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