Chacon, Marie

Chacon, Marie is an individual health care provider with primary practice located at 2901 Nw 24Th Ave , Cape Coral FL 33993-8380. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Chacon, Marie can be contacted via phone (305) 615-9297.

Contact Information

Primary practice address
2901 Nw 24Th Ave Cape Coral FL 33993-8380
Phone: (305) 615-9297
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-24-73351 Florida
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-22-13524 Florida

Profile Details

NPI number 1982161279
LBN Legal business name Chacon, Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2019
Last updated Jun 4th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982161279 NPPES
Other BCBA-1-24-73351 BACB
Other BCABA-0-22-13524 BACB

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