Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ji Soo Chung

Individual provider Behavior Technician · NPI 1295490258

Ji Soo Chung is a Behavior Technician in Costa Mesa, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

3202 Vermont Ave
Costa Mesa, CA 92626-2224
Phone: (213) 447-6057
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 140 S Flower St Ste 100, Orange, CA 92868-3467 — (714) 683-5876

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-22-58504 (CA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1295490258
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 4, 2021
Last updated in NPPESJuly 14, 2022
Certification dateJuly 14, 2022
Mailing address3202 Vermont Ave, Costa Mesa, CA 92626-2224

Other providers in Costa Mesa