Chan, Justin

Chan, Justin is an individual health care provider with primary practice located at 1063 Mcgaw Ave Ste 100 , Irvine CA 92614-5554. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Chan, Justin can be contacted via phone (714) 834-1111.

Contact Information

Primary practice address
1063 Mcgaw Ave Ste 100 Irvine CA 92614-5554
Phone: (714) 834-1111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-17-27853
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-17-29088 California

Profile Details

NPI number 1043740251
LBN Legal business name Chan, Justin
Credentials BA, MA, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2017
Last updated Oct 27th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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