Petrasek, Chanel Dyan
Petrasek, Chanel Dyan is an individual health care provider with primary practice located at 20331 Bluffside Cir Apt 220 , Huntington Beach CA 92646-8581. 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. Petrasek, Chanel Dyan can be contacted via phone (602) 460-8190.Contact Information
Primary practice address
20331 Bluffside Cir Apt 220
Huntington Beach CA 92646-8581
Phone: (602) 460-8190
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X |
Profile Details
| NPI number | 1326698028 |
|---|---|
| LBN Legal business name | Petrasek, Chanel Dyan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2019 |
| Last updated | Sep 14th, 2019 - 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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