Healthcare Provider Details

I. General information

NPI: 1942139548
Provider Name (Legal Business Name): AMBER CHAMBERLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 ELM ST
WORCESTER MA
01609-2541
US

IV. Provider business mailing address

59 GAULIN AVE APT 2
WOONSOCKET RI
02895
US

V. Phone/Fax

Practice location:
  • Phone: 774-352-5620
  • Fax:
Mailing address:
  • Phone: 401-441-3023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: