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Jonathan Chavez

Behavior Technician in Canoga Park, CA. Individual provider (NPI-1).

NPI number1760257596
StatusActive
Last updated in NPPESNov 21, 2023

Details

NPI
1760257596
Entity type
Individual (NPI-1)
Name
Jonathan Chavez
Sex
Male
Sole proprietor
No
Enumeration date
Nov 21, 2023
Certification date
Nov 21, 2023
Last updated
Nov 21, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

21201 Victory Blvd Ste 205
Canoga Park, CA 91303-4056

Phone 888-428-3223

Mailing address

4221 Wilshire Blvd Ste 300a
Los Angeles, CA 90010-3537

Phone 323-556-3048 · Fax 323-866-1881

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Technician providers in Canoga Park, CA

All 1,484 Behavior Technician providers in Canoga Park · All 2,647 providers in Canoga Park

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