Individual
UPASANA CHALISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2111 S 67TH ST # 352, OMAHA, NE 68106-2882
(531) 365-0385
(000) 000-0000
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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