Individual
CHANTANA B COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8933 SKYROCK CT, COLUMBIA, MD 21046-1457
(443) 468-1075
Mailing address
8933 SKYROCK CT, COLUMBIA, MD 21046-1457
(443) 468-1075
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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