Ethan Daniel Sung Soo Kim
Ethan Daniel Sung Soo Kim is a Behavior Technician in Cerritos, California. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
12604 Hiddencreek Way Ste CCerritos, CA 90703-2137
Phone: (855) 223-1723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1265248538 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 10, 2024 |
| Last updated in NPPES | December 10, 2024 |
| Certification date | December 10, 2024 |
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