Individual
CHASE LUNDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7090 MIRATECH DR, SAN DIEGO, CA 92121-3109
(858) 304-6440
Mailing address
6161 FAIRMOUNT AVE APT 569, SAN DIEGO, CA 92120-3678
(518) 879-4163
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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