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Individual

GINA CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D, BCBA-D

Contact information

Practice address
1111 BAKER ST STE A, COSTA MESA, CA 92626-4138
(818) 241-6780
(818) 241-6853
Mailing address
1333 S MAYFLOWER AVE STE 220, MONROVIA, CA 91016-5239
(818) 241-6780
(888) 588-2752

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-07-3373
103T00000X
Psychologist
Primary
PSY26473
CA

Other

Enumeration date
02/22/2012
Last updated
02/06/2024
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