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

Individual provider Behavior Technician · NPI 1235839879

Keonwoo Kim is a Behavior Technician in Fullerton, California. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

807 W Glenwood Cir
Fullerton, CA 92832-1017
Phone: (714) 461-1478
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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 number1235839879
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 2, 2023
Last updated in NPPESMarch 2, 2023
Certification dateMarch 2, 2023

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