Individual
CHANTELL MARIE THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 COMMERCE DR, WYOMISSING, PA 19610-3335
(484) 965-9966
Mailing address
640 FREEDOM BUSINESS CTR DR STE 220, KING OF PRUSSIA, PA 19406-1376
(484) 965-9966
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-485349
PA
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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