Individual
COURTNEY CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 S BASCOM AVE STE 127, SAN JOSE, CA 95128-3535
(800) 515-5016
Mailing address
PO BOX 33568, SAN DIEGO, CA 92163-3568
(619) 977-7201
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BCBA: 1-14-15270
CA
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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