Individual
JOSEPHINE JI HAE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 W 190TH ST STE 110, GARDENA, CA 90248-4370
(760) 713-5431
Mailing address
1375 MIDVALE AVE APT 210, LOS ANGELES, CA 90024-6260
(760) 713-5431
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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