Individual
CHANTELLE D'AILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3978 SORRENTO VALLEY BLVD STE 100, SAN DIEGO, CA 92121-1436
(858) 428-0222
Mailing address
8465 REGENTS RD APT 134, SAN DIEGO, CA 92122-1384
(619) 508-3133
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53804
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/01/2019
Last updated
09/30/2021
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