Individual
CHESTINE DANIELLE WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3191 MEDICAL CENTER DR APT 21202, MCKINNEY, TX 75069-1689
(214) 927-5082
Mailing address
3191 MEDICAL CENTER DR APT 21202, MCKINNEY, TX 75069-1689
(214) 927-5082
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47-5452058
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/15/2015
Last updated
11/15/2015
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