Channara Tep
Behavior Analyst
625 S Fair Oaks Ave Suite 200
Pasadena
, California 91105-2613
Channara Tep
Behavior Analyst
625 S Fair Oaks Ave Suite 200
Pasadena
, California 91105-2613
(323) 341-5580
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About
Features
Specialties
- Behavior Analyst
Languages spoken
- English
Location
First Address
- Channara Tep
- 625 S Fair Oaks Ave Suite 200
- Pasadena, CA
- Zip : 91105-2613
- Phone : (323) 341-5580
Second Address
- Channara Tep
- 625 S Fair Oaks Ave Suite 200
- Pasadena, CA
- Zip : 91105-2613
- Phone : (323) 341-5580
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103K00000X | Behavior Analyst | F5763065 | CA |
National Provider Identifier
| NPI | 1003262155 |
|---|---|
| Provider Name | Channara Tep |
| First Address | Pasadena, CA 91105-2613 |
| Second Address | Pasadena, CA 91105-2613 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/05/2016 |
| Last Update Date | 09/05/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.