Individual
ANDREW CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MFT-TRAINEE
Contact information
Practice address
15350 SHERMAN WAY STE 200, VAN NUYS, CA 91406-4458
(818) 267-1100
Mailing address
5727 LA MIRADA AVE APT 203, LOS ANGELES, CA 90038-2238
(310) 736-8562
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
08/29/2024
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