Individual
CAIRA CHANTEL SERVRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
290 W EXCHANGE STREET, PROVIDENCE, RI 02903
(401) 214-2330
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000762926
—
RI
Enumeration date
11/19/2018
Last updated
11/19/2018
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