Joann Kim Ta

NPI #1538729637 in Beaverton, Oregon

Provider Information

NPI Number: 1538729637
Entity Type: Individual
Name: Joann Kim Ta
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 20, 2019
Last Updated: Jun 20, 2019

Practice Location

Address: 6200 SW ARCTIC DR
City: Beaverton
State: Oregon
ZIP Code: 97005-9447
Phone: (503) 224-2184

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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