Miller, Reo Kim
Miller, Reo Kim is an individual health care provider with primary practice located at 711 Commerce St Ste 204 , Tacoma WA 98402-4514. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Miller, Reo Kim can be contacted via phone (603) 692-8173.Contact Information
Primary practice address
711 Commerce St Ste 204
Tacoma WA 98402-4514
Phone: (603) 692-8173
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | BA60772446 | Washington |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1326384363 |
|---|---|
| LBN Legal business name | Miller, Reo Kim |
| Credentials | M.S., BCBA, LBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2012 |
| Last updated | Nov 18th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326384363 | NPPES |
| Other | 1-09-5710 | BCBA | |
| Other | BA60772446 | BCBA |
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