Justin Harrison Yim
Behavior Technician in Diamond Bar, CA. Individual provider (NPI-1).
NPI number1508627845
StatusActive
Last updated in NPPESJan 30, 2024
Details
- NPI
- 1508627845
- Entity type
- Individual (NPI-1)
- Name
- Justin Harrison Yim
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2024
- Certification date
- Jan 30, 2024
- Last updated
- Jan 30, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 374700000X | Technician | – | CA |
Other names
- Justin Harrison Yim (Other Name)
Practice location
21320 Hidden Pines DrDiamond Bar, CA 91765-3531
Phone 909-656-7165
Mailing address
21320 Hidden Pines DrDiamond Bar, CA 91765-3531
Phone 909-656-7165
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 11 Behavior Technician providers in Diamond Bar · All 889 providers in Diamond Bar
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