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Organization
KIND INTERVENTION DIRECT SERVICES, INC.
Active
Organization
KIND INTERVENTION DIRECT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLEY PAK (BCBA)
(562) 455-4477
Entity
Organization
Contact information
Practice address
6 CENTERPOINTE DR STE 700, LA PALMA, CA 90623
(562) 455-4477
Mailing address
6 CENTERPOINTE DR STE 700, LA PALMA, CA 90623-2545
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
07/25/2019
Last updated
09/13/2019
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