Individual
JUSTIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19031 33RD AVE W STE 101, LYNNWOOD, WA 98036-4722
(206) 313-8840
Mailing address
6647 WATERTON CIR, MUKILTEO, WA 98275-5310
(206) 383-7469
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
10/03/2023
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