Individual
IDSEL ADRIANA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 BULLARD AVE STE 104, CLOVIS, CA 93612-1054
(559) 801-2626
Mailing address
16782 VON KARMAN AVE STE 11, IRVINE, CA 92606-2417
(855) 223-7123
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-18-67023
CA
2355S0801X
Speech-Language Assistant
Primary
6452
CA
Other
Enumeration date
10/19/2018
Last updated
06/17/2021
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