| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BREEZ CHACE AVALOS | 1396471330 | 2022-07-30 |
Breez Chace Avalos is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1396471330. Registration indicates Breez Chace Avalos is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Breez Chace Avalos |
| Practice Office Address | 3255 OLD CONEJO RD STE 202 NEWBURY PARK, CA US |
| Practice Office Telephone | 8052546249 |
| Practice Office Fax | 8555682494 |
| Mailing Address | 3255 OLD CONEJO RD STE 202 NEWBURY PARK, CA 913202153 US |
| Business Telephone | 8555682494 |
| Business Fax | 8555682494 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |