Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY KIM
Active Sole ProprietorSTACEY KIM is a Behavior Analyst healthcare provider located in MILLBRAE, California. NPI 1710333067 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · MILLBRAE, CA
Registration Details
- NPI Number
- 1710333067
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 5, 2016 (10.251328484763 yrs)
- Last Updated
- May 5, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
575 BAYVIEW AVEMILLBRAE, CA, 940301107Browse CA providers · Browse ZIP 94030
- Phone
- 4153078631
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in MILLBRAE, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. MARISA CHANG | M.S, BCBA | 1184060154 |
| JACQUELINE HO | — | 1811585169 |
| LILIAN A REVELLE | — | 1962139154 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.