Individual
CHELSEA MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 HASTINGS LN, ELIZABETH CITY, NC 27909-3324
(252) 261-1366
(833) 901-0431
Mailing address
208 HASTINGS LN, ELIZABETH CITY, NC 27909-3324
(262) 909-6485
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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