Provider Demographics
NPI:1134890809
Name:WOODS, CHAVAUGHN (BCBA)
Entity type:Individual
Prefix:
First Name:CHAVAUGHN
Middle Name:
Last Name:WOODS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6169 W 300 N
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140-9349
Mailing Address - Country:US
Mailing Address - Phone:317-622-8918
Mailing Address - Fax:
Practice Address - Street 1:6169 W 300 N
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:IN
Practice Address - Zip Code:46140-9349
Practice Address - Country:US
Practice Address - Phone:317-622-8918
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-23
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1-25-81152103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst