# CHAD CHRISTOPHER CHIEFFALLO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1063908150
- **Gender:** Man
- **Credential:** M.ED, LMFT, BCBA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | 1-22-59812 | FL | — |
| 106H00000X | Marriage & Family Therapist | MT4599 | FL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 07/02/2018
- **Last updated:** 06/13/2023