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Individual
KELLY H CHANG
Active
Individual
KELLY H CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-18-29603
CA
225X00000X
Occupational Therapist
Primary
21953
CA
Other
Enumeration date
09/14/2018
Last updated
08/26/2021
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