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Organization
ABA NEST
Active
Organization
ABA NEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIAW CHING CHUANG (BCBA)
(480) 241-7217
Entity
Organization
Contact information
Practice address
2120 IBERIS CT, TRACY, CA 95376-9219
(925) 594-0908
Mailing address
2120 IBERIS CT, TRACY, CA 95376-9219
(925) 594-0908
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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