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NPI Code Detail

MEDICARE: SABRINA CHAN

MEDICARE:   SABRINA  CHAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1790596351
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABRINA CHAN
Provider Business Mailing Address
First Line : 7141 WOODLEY AVE
Second Line :
City : VAN NUYS
State : CA
Zip : 91406-3932
Country : US
Telephone Number : 818-285-8252
Fax Number :
Provider Business Practice Location Address
First Line : 7141 WOODLEY AVE
Second Line :
City : VAN NUYS
State : CA
Zip : 91406-3932
Country : US
Telephone Number : 818-285-8252
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2025
Last Update Date : 12/22/2025

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Directions to “ SABRINA CHAN ” Practice Location

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