Provider Demographics
NPI:1821680687
Name:KANG, HELEN EUN (MS, BCBA, LBS)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:EUN
Last Name:KANG
Suffix:
Gender:F
Credentials:MS, BCBA, LBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:RICHBORO
Mailing Address - State:PA
Mailing Address - Zip Code:18954-1831
Mailing Address - Country:US
Mailing Address - Phone:267-254-1237
Mailing Address - Fax:
Practice Address - Street 1:81 MEADOW LN
Practice Address - Street 2:
Practice Address - City:RICHBORO
Practice Address - State:PA
Practice Address - Zip Code:18954-1831
Practice Address - Country:US
Practice Address - Phone:267-254-1237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1-19-36931103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst