Individual
THANGPUTTEVY MELANIE CHHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
7525 METROPOLITAN DR, SAN DIEGO, CA 92108-4411
(619) 692-0622
Mailing address
7525 METROPOLITAN DR, SAN DIEGO, CA 92108-4411
(619) 692-0622
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-18-50778
CA
224Z00000X
Occupational Therapy Assistant
Primary
6167
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578729356
—
CA
Enumeration date
10/23/2018
Last updated
10/11/2022
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