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NPI Code Detail

MEDICARE: LAURA ELIZABETH CHATTIN BCBA, M.ED.

MEDICARE: LAURA ELIZABETH CHATTIN BCBA, M.ED.
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
1103K00000XBehavior Analyst1-26-87597VA

General Provider Information

NPI Number : 1205425071
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA ELIZABETH CHATTIN BCBA, M.ED.
Provider Business Mailing Address
First Line : 1500 S DOUGLAS RD STE 230
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-4108
Country : US
Telephone Number : 844-244-1818
Fax Number : 888-512-0733
Provider Business Practice Location Address
First Line : 923 GARDENS BLVD
Second Line :
City : CHARLOTTESVILLE
State : VA
Zip : 22901-1472
Country : US
Telephone Number : 844-244-1818
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2021
Last Update Date : 03/06/2026

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