Channara Tep
NPI #1003262155 in Pasadena, California
Provider Information
- NPI Number
- 1003262155
- Entity Type
- Individual
- Name
- Channara Tep
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- May 9, 2016
- Last Updated
- May 9, 2016
Practice Location
- Address
- 625 S FAIR OAKS AVE
- Address 2
- SUITE 200
- City
- Pasadena
- State
- California
- ZIP Code
- 91105-2613
- Phone
- (323) 341-5580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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