Individual
EUN SEON SHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 MATTERHORN DR, FUQUAY VARINA, NC 27526-4185
(714) 476-1139
Mailing address
901 MATTERHORN DR, FUQUAY VARINA, NC 27526-4185
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-487347
NC
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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