Kyeongseon So Novilla
Kyeongseon So Novilla is a Behavior Technician in San Diego, California. Licensed in California. Registered with an NPI since 2019.
- Licensed in
- CA
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
3878 Ruffin Rd Ste BSan Diego, CA 92123-1842
Phone: (619) 795-9925
Fax: (877) 602-5087
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Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X |
|---|---|
| Behavior Technician | Taxonomy 106S00000X (CA) |
Record details
| NPI number | 1649736695 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 14, 2019 |
| Last updated in NPPES | January 23, 2023 |
| Certification date | January 23, 2023 |
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