Jaesung Su Kim
Jaesung Su Kim is a Behavior Technician in Long Beach, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
3491 Elm AveLong Beach, CA 90807-4430
Phone: (562) 999-7788
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1619616034 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 2, 2022 |
| Last updated in NPPES | June 2, 2022 |
| Certification date | June 2, 2022 |
| Mailing address | 5850 Granite Pkwy Ste 600, Plano, TX 75024-6753 |
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