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Luis Angel Chavez

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

NPI number1609710656
StatusActive
Last updated in NPPESApr 17, 2026

Details

NPI
1609710656
Entity type
Individual (NPI-1)
Name
Luis Angel Chavez
Sex
Male
Sole proprietor
No
Enumeration date
Apr 17, 2026
Certification date
Apr 17, 2026
Last updated
Apr 17, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

165 W Hospitality Ln Ste 28
San Bernardino, CA 92408-3326

Phone 626-665-1604

Mailing address

165 W Hospitality Ln Ste 28
San Bernardino, CA 92408-3326

Phone 626-665-1604

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