Chivers, Carly Jean

Chivers, Carly Jean is an individual health care provider with primary practice located at 703 State Route 28 , Milford OH 45150. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Chivers, Carly Jean can be contacted via phone (513) 831-2578.

Contact Information

Primary practice address
703 State Route 28 Milford OH 45150
Phone: (513) 831-2578
Fax: (317) 520-8200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X COBA.00497 Ohio

Profile Details

NPI number 1649403718
LBN Legal business name Chivers, Carly Jean
Credentials MS, BCBA, COBA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2009
Last updated Jan 7th, 2019 - about 7 years 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 1649403718 NPPES
Other 1-14-17170 BCBA CERTIFICATE

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