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NPI Code Detail

MEDICARE: BROOKE CHAPMAN

MEDICARE:   BROOKE  CHAPMAN
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 : 1891478178
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE CHAPMAN
Provider Business Mailing Address
First Line : 300 INTERNATIONAL PKWY STE 200
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-5028
Country : US
Telephone Number : 866-610-0580
Fax Number : 407-588-6294
Provider Business Practice Location Address
First Line : 4920 ROSWELL RD
Second Line :
City : ATLANTA
State : GA
Zip : 30342-2686
Country : US
Telephone Number : 470-258-4050
Fax Number : 407-588-6294
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2023
Last Update Date : 05/01/2026

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Directions to “ BROOKE CHAPMAN ” Practice Location

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