Individual
JADE CHAPPELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10463 S CORLISS AVE APT 3S, CHICAGO, IL 60628-3040
(773) 556-9822
Mailing address
10463 S CORLISS AVE APT 3S, CHICAGO, IL 60628-3040
(773) 556-9822
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11937186
IL
106S00000X
Behavior Technician
—
IL
Other
Enumeration date
06/11/2019
Last updated
03/17/2022
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