Provider Demographics
NPI:1497531669
Name:YIM, ROSEMARY (BCBA)
Entity type:Individual
Prefix:MS
First Name:ROSEMARY
Middle Name:
Last Name:YIM
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 TONI DR
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-1742
Mailing Address - Country:US
Mailing Address - Phone:201-398-8522
Mailing Address - Fax:
Practice Address - Street 1:560 SYLVAN AVE STE 2000
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-3152
Practice Address - Country:US
Practice Address - Phone:201-796-8101
Practice Address - Fax:551-733-6015
Is Sole Proprietor?:No
Enumeration Date:2023-09-05
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1-23-63783103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst