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Adrian Zhiwen Chan

Behavior Technician in Petaluma, CA. Individual provider (NPI-1).

NPI number1003663832
StatusActive
Last updated in NPPESApr 30, 2024

Details

NPI
1003663832
Entity type
Individual (NPI-1)
Name
Adrian Zhiwen Chan
Sex
Male
Sole proprietor
No
Enumeration date
Apr 30, 2024
Certification date
Apr 30, 2024
Last updated
Apr 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1425 N McDowell Blvd Ste 206
Petaluma, CA 94954-6525

Phone 855-223-7123

Mailing address

Po Box 33568
San Diego, CA 92163-3568

Phone 855-223-7123 · Fax 619-374-7134

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