Individual
CARLY MARIE CHIANESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT, BCBA
Contact information
Practice address
14251 DANIELSON ST, POWAY, CA 92064-8818
(858) 699-7579
Mailing address
14251 DANIELSON ST, POWAY, CA 92064-8818
(516) 459-4909
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-38592
CA
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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