Champlain, Azure

Champlain, Azure is an individual health care provider with primary practice located at 2928 Jefferson St Ste 100 , Carlsbad CA 92008-2374. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Champlain, Azure can be contacted via phone (855) 223-7123.

Contact Information

Primary practice address
2928 Jefferson St Ste 100 Carlsbad CA 92008-2374
Phone: (855) 223-7123
Fax: (619) 374-7134
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0134000142 Virginia

Profile Details

NPI number 1124472659
LBN Legal business name Champlain, Azure
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2016
Last updated Apr 23rd, 2024 - about 7 months 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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