Chandler, Merrill Martin

Chandler, Merrill Martin is an individual health care provider with primary practice located at 4443 Bass Pl N , Jacksonville FL 32210-6000. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Chandler, Merrill Martin can be contacted via phone (904) 465-0090.

Contact Information

Primary practice address
4443 Bass Pl N Jacksonville FL 32210-6000
Phone: (904) 465-0090
Fax: (904) 212-1032
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-06-3045 Florida

Profile Details

NPI number 1023271517
LBN Legal business name Chandler, Merrill Martin
Credentials M.S., BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2008
Last updated May 3rd, 2024 - about 4 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 1023271517 NPPES
Florida MEDICAID 017637000
Florida MEDICAID 019880600

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