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Individual

ALYSIA CHAVEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BT

Contact information

Practice address
12395 LEWIS ST STE 202, GARDEN GROVE, CA 92840-4694
(714) 867-6384
Mailing address
2907 RUBY DR APT D, FULLERTON, CA 92831-3233
(760) 620-4346

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
BEHAVIOR THERAPIST
Enumeration date
02/02/2020
Last updated
11/27/2023
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