Chad Liston
Behavior Technician in Pasadena, CA. Individual provider (NPI-1).
NPI number1649908054
StatusActive
Last updated in NPPESAug 12, 2022
Details
- NPI
- 1649908054
- Entity type
- Individual (NPI-1)
- Name
- Chad Liston
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 12, 2022
- Certification date
- Aug 12, 2022
- Last updated
- Aug 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
177 E Colorado Blvd Ste 2082Pasadena, CA 91105-1986
Phone 844-669-7827
Mailing address
177 E Colorado Blvd Ste 2082Pasadena, CA 91105-1986
Phone 844-669-7827
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