Individual
TAYLOR KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18705 MAYBERRY ST, ELKHORN, NE 68022-5607
(402) 800-7401
Mailing address
18705 MAYBERRY ST, ELKHORN, NE 68022-5607
(402) 800-7401
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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