Individual
AMANDA CHAVOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1123 QUEENSBOROUGH BLVD STE 102, MT PLEASANT, SC 29464-3682
(843) 352-7049
Mailing address
1321 MURFREESBORO PIKE STE 702, NASHVILLE, TN 37217-2679
(803) 905-4427
(615) 577-5654
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-18-9232
SC
106S00000X
Behavior Technician
15-05505
SC
Other
Enumeration date
05/22/2018
Last updated
03/18/2019
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