Most Relevant Information
Provider Data
| NPI Number: | 1003383845 |
| Provider Name: | AMANDA CHASTAIN |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/30/2018 |
| Last Updated: | 08/25/2021 |
Provider Practice Location
1640 W ROOSEVELT RD
CHICAGO
IL
606081316
Practice Location Phone/Fax
| Phone: | 1241318713 |
| Fax: |
Provider Mailing Location
1640 W ROOSEVELT RD
CHICAGO
IL
606081316
Provider Mailing Phone/Fax
| Phone: | 1241318713 |
| Fax: |