Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician | CA |
NPI | 1003404567 |
---|---|
Provider Name | Savannah Ray Chatton |
First Address | Carlsbad, CA 92008-8816 |
Second Address | Valley Center, CA 92082-3122 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2021 |
Last Update Date | 08/01/2021 |