Individual
GARRETT CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
29782 SMUGGLERS POINT DR, CANYON LAKE, CA 92587-7474
(951) 609-4810
Mailing address
255 E RINCON ST, CORONA, CA 92879-1367
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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