Provider Demographics
NPI:1982357711
Name:LIM, EUNJUNG
Entity type:Individual
Prefix:
First Name:EUNJUNG
Middle Name:
Last Name:LIM
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 BELVEDERE RD STE 500
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-1514
Mailing Address - Country:US
Mailing Address - Phone:305-333-1166
Mailing Address - Fax:
Practice Address - Street 1:1501 BELVEDERE RD STE 500
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-1514
Practice Address - Country:US
Practice Address - Phone:305-333-1166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-01
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBACB-1-21-56595103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst