Chieffallo, Chad Christopher
Chieffallo, Chad Christopher is an sole proprietor health care provider with primary practice located at 264 Bergamot Loop , Davenport FL 33837-7721. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Chieffallo, Chad Christopher can be contacted via phone (352) 223-1500.Contact Information
Primary practice address
264 Bergamot Loop
Davenport FL 33837-7721
Phone: (352) 223-1500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-22-59812 | Florida |
Agencies / Community/Behavioral Health | 251S00000X | ||
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MT4599 | Florida |
Profile Details
NPI number | 1063908150 |
---|---|
LBN Legal business name | Chieffallo, Chad Christopher |
Credentials | M.ED, LMFT, BCBA |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 2nd, 2018 |
Last updated | Jun 13th, 2023 - about last year |
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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