Provider Demographics
NPI:1346658994
Name:CHATMAN, DARIUS (BA)
Entity Type:Individual
Prefix:MR
First Name:DARIUS
Middle Name:
Last Name:CHATMAN
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5236 COBLE ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73135-1512
Mailing Address - Country:US
Mailing Address - Phone:405-802-1186
Mailing Address - Fax:
Practice Address - Street 1:5236 COBLE ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73135-1512
Practice Address - Country:US
Practice Address - Phone:405-802-1186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-28
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst