Octavia Supreme Chapman

NPI #1376323162 in Oak Creek, Wisconsin

Provider Information

NPI Number: 1376323162
Entity Type: Individual
Name: Octavia Supreme Chapman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Sep 29, 2023
Last Updated: Sep 29, 2023

Practice Location

Address: 2603 W RAWSON AVE STE 132
City: Oak Creek
State: Wisconsin
ZIP Code: 53154-8422
Phone: (888) 754-0398

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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