MEDICARE: CHASITY LAWSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst		TN
2	106S00000X	Behavior Technician		TN

General Provider Information

NPI Number	:	1053093153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHASITY LAWSON

Provider Business Mailing Address
First Line	:	5175 ELMORE RD STE 1
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38134-5629
Country	:	US
Telephone Number	:	901-582-4622
Fax Number	:

Provider Business Practice Location Address
First Line	:	5175 ELMORE RD STE 1
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38134-5629
Country	:	US
Telephone Number	:	901-220-2078
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2023
Last Update Date	:	05/27/2026

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Directions to “ CHASITY LAWSON ” Practice Location

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