Chace Roberts
Behavior Technician Assistant Behavior Analyst
851 N Donnelly St Ste 10
Mount Dora
, Florida 32757-4835
Chace Roberts
Behavior Technician Assistant Behavior Analyst
851 N Donnelly St Ste 10
Mount Dora
, Florida 32757-4835
(888) 975-0599
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About
Features
Specialties
- Assistant Behavior Analyst
- Behavior Technician
Languages spoken
- English
Location
First Address
- Chace Roberts
- Po Box 963
- Mount Dora, FL
- Zip : 32756-0963
- Fax : (888) 975-0599
- Phone : (844) 668-6222
Second Address
- Chace Roberts
- 851 N Donnelly St Ste 10
- Mount Dora, FL
- Zip : 32757-4835
- Fax : (888) 975-0599
- Phone : (844) 668-6222
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | ||
| N | 106S00000X | Behavior Technician |
National Provider Identifier
| NPI | 1093217176 |
|---|---|
| Provider Name | Chace Roberts |
| First Address | Mount Dora, FL 32756-0963 |
| Second Address | Mount Dora, FL 32757-4835 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/03/2018 |
| Last Update Date | 24/04/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.