Stacey Kim
NPI #1710333067 in Millbrae, California
Provider Information
- NPI Number
- 1710333067
- Entity Type
- Individual
- Name
- Stacey Kim
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- May 5, 2016
- Last Updated
- May 5, 2016
Practice Location
- Address
- 575 BAYVIEW AVE
- City
- Millbrae
- State
- California
- ZIP Code
- 94030-1107
- Phone
- (415) 307-8631
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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| MRS. Marisa Chang, M.S, BCBA | |
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Organizations
| Provider Name | |
|---|---|
| Cornerstone Therapies | |
| County of Modoc Part of County of Modoc |
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