Individual
CHANTE NICOLE DIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
644 TALLULAH TRL, WARNER ROBINS, GA 31088-7625
(770) 539-5181
Mailing address
4304 EAGLE TRACE CT, WALDORF, MD 20602-3116
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-31562
—
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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