Individual
YE JI SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E CITY AVE, BALA CYNWYD, PA 19004-1708
(856) 827-7630
Mailing address
301 E CITY AVE, BALA CYNWYD, PA 19004-1708
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45955
PA
106S00000X
Behavior Technician
RBT-17-46740
PA
Other
Enumeration date
06/04/2019
Last updated
04/12/2021
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