Individual provider · Type 1 NPI

Azure Champlain

Assistant Behavior Analyst · Carlsbad, CA

NPI number 1124472659 Active

Practice location

2928 Jefferson St Ste 100
Carlsbad, CA 92008-2374

Call (855) 223-7123 Map

Fax (619) 374-7134

Mailing address

PO Box 33568
San Diego, CA 92163-3568

Specialties and licenses

TaxonomyCodeLicense
Assistant Behavior Analyst Primary 106E00000X0134000142 (VA)

Assistant Behavior Analyst: An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws …

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About NPI 1124472659

Azure Champlain's National Provider Identifier is 1124472659, issued on Apr 21, 2016. The primary taxonomy on file is Assistant Behavior Analyst (106E00000X), and the practice location is in Carlsbad, CA. The record was last updated on Apr 23, 2024.