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Individual

DAVID RYAN CHASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10632 EAGLE WAY, HOPKINSVILLE, KY 42240-8779
(707) 024-6412
(615) 577-5654
Mailing address
1321 MURFREESBORO PIKE STE 702, NASHVILLE, TN 37217-2679
(844) 359-7629
(615) 577-5654

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
175T00000X
Peer Specialist

Other

Enumeration date
03/27/2018
Last updated
02/25/2020
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