Individual
CAROLYN CHAE CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3855 CENTERVIEW DR STE 400, CHANTILLY, VA 20151-3285
(571) 554-5730
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(786) 751-4534
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0134000425
VA
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/24/2021
Last updated
02/07/2023
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