Most Relevant Information
Provider Data
| NPI Number: | 1003680190 |
| Provider Name: | RUBY KIM |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/09/2023 |
| Last Updated: | 11/09/2023 |
Provider Practice Location
5 CONSTITUTION WAY STE C
WOBURN
MA
018011199
Practice Location Phone/Fax
| Phone: | 8887540398 |
| Fax: |
Provider Mailing Location
315 BEACON ST APT B
SOMERVILLE
MA
021433564
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |