Individual
ALBERT ANDREW CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
741 GLENVIA ST # 200, GLENDALE, CA 91206-2425
(855) 295-3276
Mailing address
PO BOX 767938, ROSWELL, GA 30076-7938
(818) 241-6780
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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