Individual
ELIZABETH JEAN CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED,BCBA
Contact information
Practice address
9409 NEILS BRANCH RD, RALEIGH, NC 27603-8448
(919) 662-7205
Mailing address
9409 NEILS BRANCH ROAD, RALEIGH, NC 27603
(919) 662-7205
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-6419
NC
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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