Individual
CHRISTINA CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 SNEATH LN STE 200, SAN BRUNO, CA 94066-2349
(510) 268-8120
Mailing address
26 COTELLA CT, ALAMEDA, CA 94502-7958
(510) 502-9354
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15889292
KIASER
CA
Enumeration date
11/28/2018
Last updated
06/11/2019
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