Individual
ANNA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 HUNTINGTON DR, 305, DUARTE, CA 91010-2580
(626) 531-6999
Mailing address
1740 HUNTINGTON DR STE 305, DUARTE, CA 91010-3842
(626) 531-6999
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11314193
CA
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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