Individual
CHIMERE PRINCE AHANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27254 GRANDVIEW AVE, HAYWARD, CA 94542-2325
(510) 688-8166
Mailing address
1581 164TH AVE, SAN LEANDRO, CA 94578-2287
(510) 776-5370
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Y7711242
—
CA
Enumeration date
01/06/2021
Last updated
01/06/2021
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