Healthcare Provider Details
I. General information
NPI: 1710615554
Provider Name (Legal Business Name): CHASE THERAPIES INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/10/2022
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
868 GEORGE W ENGRAM BLVD
DAYTONA BEACH FL
32114-1859
US
IV. Provider business mailing address
868 GEORGE W ENGRAM BLVD
DAYTONA BEACH FL
32114-1859
US
V. Phone/Fax
- Phone: 386-310-7879
- Fax: 386-233-3313
- Phone: 386-310-7879
- Fax: 386-233-3313
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMY
KAREN
FILSON
Title or Position: CFO
Credential:
Phone: 386-295-5101