MEDICARE: ALYVIA CHAMBERS

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

General Provider Information

NPI Number	:	1316777360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYVIA CHAMBERS

Provider Business Mailing Address
First Line	:	3535 MOUNTAIN CREEK RD APT 407
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37415-6715
Country	:	US
Telephone Number	:	865-776-8577
Fax Number	:

Provider Business Practice Location Address
First Line	:	3535 MOUNTAIN CREEK RD APT 407
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37415-6715
Country	:	US
Telephone Number	:	865-776-8577
Fax Number	:

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

Provider Enumeration Date	:	08/05/2024
Last Update Date	:	08/05/2024

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Directions to “ ALYVIA CHAMBERS ” Practice Location

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