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Organization

ADVANCED BEHAVIORAL INTERVENTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA LIZETTE CHAVEZ BCBA (EXECUTIVE DIRECTOR)
(619) 246-6471
Entity
Organization

Contact information

Practice address
2301 BONITA ST, LEMON GROVE, CA 91945-3608
(619) 246-6471
Mailing address
2301 BONITA ST, LEMON GROVE, CA 91945-3608
(619) 246-6471

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
04/23/2021
Last updated
04/23/2021
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