Provider Demographics
NPI:1013794445
Name:SK BEHAVIOR AND LEARNING, INC.
Entity Type:Organization
Organization Name:SK BEHAVIOR AND LEARNING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SOHYUN
Authorized Official - Middle Name:AN
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, PHD
Authorized Official - Phone:818-510-1733
Mailing Address - Street 1:6312 BEEMAN AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-3123
Mailing Address - Country:US
Mailing Address - Phone:818-510-1733
Mailing Address - Fax:
Practice Address - Street 1:6312 BEEMAN AVE
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-3123
Practice Address - Country:US
Practice Address - Phone:818-510-1733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty