Individual
LANCE CHESTNUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BT
Contact information
Practice address
110 CHURCH ST, PHILADELPHIA, PA 19106-2201
(610) 732-0689
Mailing address
5206 BELLA VISTA RD, DREXEL HILL, PA 19026-4804
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
PA
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
06/02/2025
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