Individual
AMANDA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6330 VARIEL AVE, SUITE 102, WOODLAND HILLS, CA 91367-2543
(818) 657-1111
(818) 758-8015
Mailing address
21600 OXNARD ST, SUITE 1800, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
(818) 758-8015
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
1-16-24737
CA
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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