Sora Kim
Sora Kim is a Behavior Technician in Fresh Meadows, New York. Licensed in New York. Registered with an NPI since 2021.
- Licensed in
- NY
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
16216 Union Tpke Ste 303Fresh Meadows, NY 11366-1960
Phone: (718) 264-7250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X (NY) |
|---|---|
| Behavior Technician | Taxonomy 106S00000X |
Record details
| NPI number | 1316513054 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 2, 2021 |
| Last updated in NPPES | October 10, 2024 |
| Certification date | October 10, 2024 |
| Mailing address | 16216 Union Tpke Ste 303, Fresh Meadows, NY 11366-1960 |
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