Provider Demographics
NPI:1043805914
Name:SINCLAIR, DAMIAN CHAVEZ (RBT)
Entity Type:Individual
Prefix:MR
First Name:DAMIAN
Middle Name:CHAVEZ
Last Name:SINCLAIR
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5124 GREAT MEADOWS RD
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30038-2799
Mailing Address - Country:US
Mailing Address - Phone:404-573-2306
Mailing Address - Fax:
Practice Address - Street 1:225 CEDAR HILL ST STE 200
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-5900
Practice Address - Country:US
Practice Address - Phone:404-573-2306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-03
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician