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Individual
PRESTON KANG
Active
Individual
PRESTON KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, BCBA
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
00001217
CA
106S00000X
Behavior Technician
Primary
RBT-15-02199
CA
Other
Enumeration date
02/14/2018
Last updated
12/08/2020
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