MEDICARE: CHELSEA DEAN

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1417468133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA DEAN

Provider Business Mailing Address
First Line	:	1364 NORTHERN VALLEY TRL
Second Line	:
City	:	AVON
State	:	IN
Zip	:	46123-8838
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2701 ALBRIGHT RD
Second Line	:
City	:	KOKOMO
State	:	IN
Zip	:	46902-3996
Country	:	US
Telephone Number	:	851-576-5438
Fax Number	:

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

Provider Enumeration Date	:	10/20/2017
Last Update Date	:	08/04/2025

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Directions to “ CHELSEA DEAN ” Practice Location

Language	Start Address	Practice Location

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