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NPI Code Detail

MEDICARE: MR. DARIUS CHATMAN BA

MEDICARE: MR. DARIUS CHATMAN BA
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 Analyst

General Provider Information

NPI Number : 1346658994
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DARIUS CHATMAN BA
Provider Business Mailing Address
First Line : 5236 COBLE ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73135-1512
Country : US
Telephone Number : 405-802-1186
Fax Number :
Provider Business Practice Location Address
First Line : 5236 COBLE ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73135-1512
Country : US
Telephone Number : 405-802-1186
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2014
Last Update Date : 07/28/2014

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