Individual
CHLOE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
319 S VISTA BONITA AVE, GLENDORA, CA 91741-6218
(626) 716-4056
Mailing address
6044 MARINA DR, EWA BEACH, HI 96706-3243
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
198
HI
Other
Enumeration date
11/27/2012
Last updated
11/13/2023
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