Individual
JACOB KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
260 E MAIN ST, EL CENTRO, CA 92243-2616
(855) 832-6727
Mailing address
1858 FARMER DR, EL CENTRO, CA 92243-6120
(760) 791-1497
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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