Provider Demographics
NPI:1104411495
Name:SLAVENS, CEMBER LYNN (BS)
Entity type:Individual
Prefix:
First Name:CEMBER
Middle Name:LYNN
Last Name:SLAVENS
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:CEMBER
Other - Middle Name:LYNN SLAVENS
Other - Last Name:BOOKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:1055 E COLORADO BLVD STE 560
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-2380
Mailing Address - Country:US
Mailing Address - Phone:818-241-6780
Mailing Address - Fax:
Practice Address - Street 1:19615 LIVERPOOL PKWY STE B
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-4075
Practice Address - Country:US
Practice Address - Phone:818-241-6780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician