Most Relevant Information
Provider Data
| NPI Number: | 1003386095 |
| Provider Name: | CHANTANA B COLLINS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/03/2018 |
| Last Updated: | 12/03/2018 |
Provider Practice Location
8933 SKYROCK CT
COLUMBIA
MD
210461457
Practice Location Phone/Fax
| Phone: | 4434681075 |
| Fax: |
Provider Mailing Location
8933 SKYROCK CT
COLUMBIA
MD
210461457
Provider Mailing Phone/Fax
| Phone: | 4434681075 |
| Fax: |