MEDICARE: CHELSEA BLEDSOE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1215888995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA BLEDSOE

Provider Business Mailing Address
First Line	:	827 OVERLOOK GLEN DR
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30045-3304
Country	:	US
Telephone Number	:	470-720-0214
Fax Number	:

Provider Business Practice Location Address
First Line	:	1845 SATELLITE BLVD
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30097-5256
Country	:	US
Telephone Number	:	404-985-0749
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2026
Last Update Date	:	02/07/2026

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Directions to “ CHELSEA BLEDSOE ” Practice Location

Language	Start Address	Practice Location

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