Individual
STEPHANIE MIJOO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1918 BUSINESS CENTER DR STE 104, SAN BERNARDINO, CA 92408-3439
(909) 727-7862
Mailing address
7045 DAKOTA AVE, RANCHO CUCAMONGA, CA 91701-5334
(909) 727-7862
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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