Individual
CAROLINA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12021 WILMINGTON AVE, LOS ANGELES, CA 90059-3019
(310) 668-3484
Mailing address
12021 WILMINGTON AVE., BUILDING 18, SUITE 4D, LOS ANGELES, CA 90059-3052
(310) 668-3484
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
03/02/2026
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