Individual
DEBORAH KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 BROADHOLLOW RD, MELVILLE, NY 11747-4822
(646) 666-3088
Mailing address
225 BROADHOLLOW RD, MELVILLE, NY 11747-4822
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
12/28/2023
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