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Individual

KELLY H CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
8135 PAINTER AVE STE 200, WHITTIER, CA 90602-3168
(562) 698-6600
(562) 698-6613
Mailing address
4505 W 5TH ST APT 14, LOS ANGELES, CA 90020-4707
(213) 500-1941

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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