Individual
AMANDA CHASTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 W ROOSEVELT RD, CHICAGO, IL 60608-1316
(124) 131-8713
Mailing address
1640 W ROOSEVELT RD, CHICAGO, IL 60608-1316
(124) 131-8713
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/30/2018
Last updated
08/25/2021
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