Provider Demographics
NPI:1609295708
Name:CHAPMAN, JOAN (M ED CERTIFIED BEHA)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:M ED CERTIFIED BEHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3833 FREEMANSBURG AVE
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045
Mailing Address - Country:US
Mailing Address - Phone:610-730-2326
Mailing Address - Fax:
Practice Address - Street 1:3833 FREEMANSBURG AVE
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-5503
Practice Address - Country:US
Practice Address - Phone:610-730-2326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-16
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH000187103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst