Mrs Keturah Chambliss, MS is a
Behavior Technician based in Port St Lucie, Florida. Mrs Keturah Chambliss is licensed to practice in * (Not Available) (license number ) and her current practice location is
10850 S Us Highway 1 Ste 2, Port St Lucie, Florida. She can be reached at her office (for appointments etc.) via phone at
(772) 463-0444.
NPI number for Mrs Keturah Chambliss is 1467719518 and her current mailing address is 5407 Eagle Dr, Fort Pierce, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467719518.
Healthcare Provider's Profile
Full Name | Mrs Keturah Chambliss |
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Gender | Female |
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Speciality | Behavior Technician |
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Location | 10850 S Us Highway 1 Ste 2, Port St Lucie, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467719518
- Provider Enumeration Date: 04/13/2012
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Mrs Keturah Chambliss such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467719518 | NPI | - | NPPES |
019183800 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Keturah Chambliss is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Keturah Chambliss, MS 5407 Eagle Dr, Fort Pierce, FL 34951-2376 Ph: () - | Mrs Keturah Chambliss, MS 10850 S Us Highway 1 Ste 2, Port St Lucie, FL 34952-6407 Ph: (772) 463-0444 |
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