Individual
JEFFREY CHRISTOPHER CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, RBT
Contact information
Practice address
1300 EAST NEW CIRCLE ROAD, SUITE 150, LEXINGTON, KY 40505-9001
(859) 685-1019
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-19-92700
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-19-92700
RBT CERTIFICATE
KY
Enumeration date
09/24/2019
Last updated
09/24/2019
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