Individual
CARMEN CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5637 N PERSHING AVE STE B7, STOCKTON, CA 95207-4955
(209) 635-0956
Mailing address
5734 CARIBBEAN CIR, STOCKTON, CA 95210-5633
(209) 635-0956
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-43586
CA
Other
Enumeration date
08/23/2017
Last updated
09/27/2022
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