Provider Information

Last Updated : Dec 26 2024 11:06 AM

Amanda Chavira




City
Fresno
Group
HEALTH NET DIRECT FFS MEDI-CAL
Specialty
Qualified Autism Svc Provider
Last Name
Chavira
First Name
Amanda
Address
1752 E Bullard Ave Ste 102
State
CA
Zip Code
93710
Phone
(559)330-1157
Hours
Mon - Fri 8:00 AM - 5:00 PM
Gender
F
Title
BCBA
Physician ID
243205
Section Number
A
County
FRESNO
Accepting New Patient
Yes
PPG NAME
HEALTH NET DIRECT FFS MEDI-CAL
PPG ID
MHDML
NPI Number
1588165633
Access Requirement
Limited
PARKING_IND
P
EXT_BUILD_IND
EB
INT_BUILD_IND
IB
RESTROOM_IND
R
License ID
BCB29185
Email
credential@learningarts.com
Board Certified
No
Self Access Flag
Self Reported Data
Panel Status
Available by referral only
PHY CCT IND
N

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