Individual
BIANCA B CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23701 BIRTCHER DR, LAKE FOREST, CA 92630-1772
(855) 581-0100
Mailing address
23701 BIRTCHER DR, LAKE FOREST, CA 92630-1772
(855) 581-0100
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
03/17/2026
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