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Individual
JESSICA KIM
Active
Individual
JESSICA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12147165
NJ
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
10/28/2021
Last updated
10/16/2023
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