NPI 1124472659

Azure Champlain

Practitioner Assistant Behavior Analyst Carlsbad, CA

Practice location

Address: 2928 Jefferson St STE 100, Carlsbad, CA 92008-2374
Phone: (855) 223-7123
Fax: (619) 374-7134
Mailing address: PO Box 33568, San Diego, CA 92163-3568

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence 0134000142 (VA)

Other Assistant Behavior Analyst providers in California →

Registry record

NPI: 1124472659
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Apr 2016
Record last updated: 23 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.