MEDICARE: DR. JINHYEOK CHOI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	0133000214	VA

General Provider Information

NPI Number	:	1871904912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JINHYEOK CHOI

Provider Business Mailing Address
First Line	:	6826 CARNEGIE DR
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23226-2920
Country	:	US
Telephone Number	:	917-514-2700
Fax Number	:

Provider Business Practice Location Address
First Line	:	6826 CARNEGIE DR
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23226-2920
Country	:	US
Telephone Number	:	917-514-2700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2014
Last Update Date	:	05/12/2014

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