Individual
LUIS ISAAC CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 SNEATH LN, SAN BRUNO, CA 94066-2308
(510) 268-8120
Mailing address
16 NANCY LN, DALY CITY, CA 94014-1564
(408) 614-3427
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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