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NPI Code Detail

MEDICARE: CHANG CHOE BCBA

MEDICARE: CHANG CHOE BCBA
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
1103K00000XBehavior Analyst1.13.14520CA

General Provider Information

NPI Number : 1245653260
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANG CHOE BCBA
Provider Business Mailing Address
First Line : 17011 BEACH BLVD STE 900
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92647-5998
Country : US
Telephone Number : 562-248-6377
Fax Number : 833-233-3050
Provider Business Practice Location Address
First Line : 17011 BEACH BLVD STE 900
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92647-5998
Country : US
Telephone Number : 562-248-6377
Fax Number : 833-233-3050
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2014
Last Update Date : 06/08/2021

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Directions to “ CHANG CHOE BCBA” Practice Location

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