Organization
CHIMES METRO
Active
Parent organization
-
Organization subpart
Yes
Provider details
NPI number
Legal business name
-
Authorized official
MARC A FIELDS (BEHAVIOR ANALYST)
(302) 650-6038
Entity
Organization
Contact information
Practice address
514 INTERCHANGE BLVD, NEWARK, DE 19711-3557
(302) 452-3400
Mailing address
49 BROADLEAF DR, NEWARK, DE 19702-3512
(302) 650-6038
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-05-2374
DE
103K00000X
Behavior Analyst
Primary
BACB275582
DE
103TC0700X
Clinical Psychologist
B1-0000651
DE
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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