Individual
MISS KIMBERLY STEPHANIE COREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 CRENSHAW BLVD STE 215, LOS ANGELES, CA 90043-1200
(323) 291-7100
Mailing address
2935 E AVENUE R7, PALMDALE, CA 93550-6365
(661) 208-2347
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
CA
106S00000X
Behavior Technician
BACB793210
CA
Other
Enumeration date
01/17/2023
Last updated
01/27/2025
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