Choua Lor
Behavior Technician in Concord, CA. Individual provider (NPI-1).
NPI number1104636588
StatusActive
Last updated in NPPESJan 8, 2025
Details
- NPI
- 1104636588
- Entity type
- Individual (NPI-1)
- Name
- Choua Lor
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 8, 2025
- Certification date
- Jan 8, 2025
- Last updated
- Jan 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1200 Concord Ave Ste 185Concord, CA 94520-5006
Phone 916-203-1873
Mailing address
1200 Concord Ave Ste 185Concord, CA 94520-5006
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