Active NPIIndividual provider

So Jung Kim, MSED

Behavior Analyst in Cliffside Park, New Jersey

NPI Number1346550779
Practice location
610 Anderson Ave, Apt. # 3C, Cliffside Park, NJ 07010-1842
Fax
—
Last updated
October 19, 2010

So Jung Kim is a Behavior Analyst based in Cliffside Park, NJ. So Jung Kim practices in Cliffside Park, NJ and has the professional credentials of MSED. The NPI Number for So Jung Kim is 1346550779 and holds a License No. 1896215 (NY). The current practice location address for So Jung Kim is 610 Anderson Ave, Apt. # 3C, Cliffside Park, NJ 07010-1842 and can be reached out via phone at 201-917-3231.

Provider Profile Details

NPI Number
1346550779
Provider Name
So Jung Kim
Credential
MSED
Provider Entity Type
Individual
Gender
Female
Address
610 Anderson Ave, Apt. # 3C, Cliffside Park, NJ 07010-1842
Phone Number
201-917-3231
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
October 19, 2010
Last Update Date
October 19, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
610 Anderson Ave
Apt. # 3C
Cliffside Park, NJ 07010-1842
Zip
07010-1842
Phone Number
201-917-3231
Cliffside Park, NJ 07010Get directions →

Provider Business Mailing Address Details

Address
610 Anderson Ave
Apt. # 3C
Cliffside Park, NJ 07010-1842
City
Cliffside Park
State
NJ
Zip
07010-1842
Phone Number
201-917-3231

License Information

License State (1)
NJ
Taxonomy (1)
Behavior Analyst · 103K00000X · Primary
License Number (2)
1896215
License State (2)
NY
Taxonomy (2)
Behavior Analyst · 103K00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of So Jung Kim, MSED?

The NPI number of So Jung Kim, MSED is 1346550779. It was assigned on October 19, 2010 and is currently active in the NPPES registry.

What is the specialty of So Jung Kim, MSED?

So Jung Kim, MSED is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in NY under license number 1896215.

Where does So Jung Kim, MSED practice?

The practice location is 610 Anderson Ave, Apt. # 3C, Cliffside Park, NJ 07010-1842. The office can be reached at 201-917-3231 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346550779 directly on the NPPES registry website.

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