Provider Demographics
NPI:1164013918
Name:SUNNY'S BEHAVIOR SERVICES, INC
Entity Type:Organization
Organization Name:SUNNY'S BEHAVIOR SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JUNG SUN
Authorized Official - Middle Name:SUNNY
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, BCBA
Authorized Official - Phone:415-328-2226
Mailing Address - Street 1:5402 COKE AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90712-1626
Mailing Address - Country:US
Mailing Address - Phone:415-328-2226
Mailing Address - Fax:
Practice Address - Street 1:5402 COKE AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90712-1626
Practice Address - Country:US
Practice Address - Phone:415-328-2226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-02
Last Update Date:2022-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty