NPI 1154921922
Chase McFadden, RBT
Practice location
- Address
- 310 E Broadway Ave, Jackson, WY 83001-8636
- Phone
- (307) 257-5487
- Mailing address
- PO Box 11231, Jackson, WY 83002-1231
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1154921922
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 29 Oct 2020
- Record last updated
- 29 Oct 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.