CHAN SUP OH

SAN DIEGO, CA
NPI1194642181
Other NameKEVIN OH
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: CA  PSB94029498)
Additional Taxonomies106S00000X Behavior Technician
(Licence: CA  RBT-26-539950)
Enumeration Date2026-07-01
Last Update Date2026-07-01
Business Address
CHAN SUP OH
3555 KENYON ST STE 101
SAN DIEGO, CA 92110-5341
Phone number: 619-600-0683
Mailing Address
CHAN SUP OH
3555 KENYON ST STE 101
SAN DIEGO, CA 92110-5341
Phone number: 619-600-0683