Individual provider · NPI-1
Paula Chan, BCaBA
Behavior Analyst · Lutz, FL
NPI number1245568856
StatusActive
Last updated in NPPESNov 20, 2009
Details
- NPI
- 1245568856
- Entity type
- Individual (NPI-1)
- Name
- Paula Chan
- Credential
- BCaBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 20, 2009
- Last updated
- Nov 20, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 0-09-3582 | FL | Yes |
Practice location
2907 Network PlApt. 204d
Lutz, FL 33559-3165
Phone 216-870-4584
Mailing address
2907 Network PlApt. 204d
Lutz, FL 33559-3165
Phone 216-870-4584
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