Individual
DAVID KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
142 BEACH 120TH ST, ROCKAWAY PARK, NY 11694-1955
(267) 222-2780
Mailing address
142 BEACH 120TH ST, ROCKAWAY PARK, NY 11694-1955
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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