Most Relevant Information
Provider Data
| NPI Number: | 1003412677 |
| Provider Name: | MATTHEW CHAMBERLAIN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/09/2020 |
| Last Updated: | 04/19/2021 |
Provider Practice Location
325 N 2ND ST
WORMLEYSBURG
PA
170431104
Practice Location Phone/Fax
| Phone: | 8445884222 |
| Fax: | 7177753443 |
Provider Mailing Location
325 N 2ND ST
WORMLEYSBURG
PA
170431104
Provider Mailing Phone/Fax
| Phone: | 8445884222 |
| Fax: | 7177753443 |