Individual
CHRISTIAN JOSE CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9600 CENTER AVE, RANCHO CUCAMONGA, CA 91730-5838
(858) 264-5858
Mailing address
9600 CENTER AVE STE 260, RANCHO CUCAMONGA, CA 91730-5838
(858) 264-5858
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-73454
CA
106S00000X
Behavior Technician
—
CA
Other
Enumeration date
01/20/2020
Last updated
06/18/2024
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