Provider Demographics
NPI:1306103296
Name:CHAPMAN, TASHA (BA)
Entity type:Individual
Prefix:
First Name:TASHA
Middle Name:
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:819 BROOKWOOD DR
Mailing Address - Street 2:#202
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73139-4907
Mailing Address - Country:US
Mailing Address - Phone:313-629-9220
Mailing Address - Fax:
Practice Address - Street 1:819 BROOKWOOD DR
Practice Address - Street 2:#202
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-4907
Practice Address - Country:US
Practice Address - Phone:313-629-9220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-16
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst