MEDICARE: LARBRESHA CHATMON

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	106S00000X	Behavior Technician	42445698	TX

General Provider Information

NPI Number	:	1982553152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARBRESHA CHATMON

Provider Business Mailing Address
First Line	:	2514 11TH ST
Second Line	:
City	:	GALENA PARK
State	:	TX
Zip	:	77547-2006
Country	:	US
Telephone Number	:	832-267-4265
Fax Number	:

Provider Business Practice Location Address
First Line	:	4509 MOUNT VERNON ST APT 23
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-5894
Country	:	US
Telephone Number	:	832-267-4265
Fax Number	:

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

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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Directions to “ LARBRESHA CHATMON ” Practice Location

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