Individual
KATIE CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
10503 METRIC DR, DALLAS, TX 75243-5514
(214) 221-4405
(214) 221-0069
Mailing address
10503 METRIC DR, DALLAS, TX 75243-5514
(214) 221-4405
(214) 221-0069
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11623318
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11623318
BCBA
TX
Enumeration date
02/24/2017
Last updated
02/24/2017
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