Roman Chasteen
Individual provider Active NPI Behavior Technician · Madison, AL
NPI 1104645860 · NPPES record last updated Oct 8, 2024
Key facts
- NPI
- 1104645860
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 24-382281 (AL)
- Practice address
- 100 Spenryn Dr
Madison, AL 35758-1890 - Phone
- (256) 772-4400
- NPI assigned
- Oct 8, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24-382281 | AL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Applied Behavioral Concepts | Current |
Accepting new patients |
Locations
100 Spenryn Dr
Madison, AL 35758
Phone (256) 772-4400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 24-382281 | AL | Yes |
Addresses
Primary practice location
100 Spenryn Dr
Madison, AL 35758-1890
Mailing address
100 Spenryn Dr
Madison, AL 35758-1890
Other providers in Madison, AL
- Shelby Lynn Chamberlain
- Makenzie Elizabeth Chambers
- Blair Chance
- Luke Chapman
- Sheryl Chapman
- Satyabrata Chatterjee
- Maureen Jeanne Chemsak
- Mary Elizabeth Chenault
- Chigozie C Chidebelu
- Choice Medical Healthcare LLC
All providers in Madison, AL · Behavior Technician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.