Provider Demographics
NPI:1447058342
Name:CHATMAN, KERSTEN D (RBT)
Entity type:Individual
Prefix:
First Name:KERSTEN
Middle Name:D
Last Name:CHATMAN
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 ROW THREE APT CE
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-4377
Mailing Address - Country:US
Mailing Address - Phone:985-312-6481
Mailing Address - Fax:
Practice Address - Street 1:139 JAMES COMEAUX RD STE 8
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3376
Practice Address - Country:US
Practice Address - Phone:985-312-6481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARBT-24-371955106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician