Individual
ALEXANDER BENJAMIN CHANCELLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5111 JOHNSON DR, PLEASANTON, CA 94588-3343
(925) 596-7000
Mailing address
5111 JOHNSON DR, PLEASANTON, CA 94588-3343
(925) 596-7000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
F3172107
CA
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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