Justin R Chen
Behavior Technician in Pasadena, CA. Individual provider (NPI-1).
NPI number1023697802
StatusActive
Last updated in NPPESAug 9, 2023
Details
- NPI
- 1023697802
- Entity type
- Individual (NPI-1)
- Name
- Justin R Chen
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 7, 2021
- Certification date
- Aug 9, 2023
- Last updated
- Aug 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 247200000X | Technician, Other | – | – |
Practice location
225 S Lake Ave Ste 300Pasadena, CA 91101-3009
Phone 714-696-2862
Mailing address
225 S Lake Ave Ste 300Pasadena, CA 91101-3009
Phone 626-410-0299
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