MEDICARE: CHELSEA HOSEY

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	:	1518450071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA HOSEY

Provider Business Mailing Address
First Line	:	PO BOX 401201
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89140-1201
Country	:	US
Telephone Number	:	630-835-9826
Fax Number	:

Provider Business Practice Location Address
First Line	:	8063 KINTORI JUNCTION ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89139-6493
Country	:	US
Telephone Number	:	630-835-9826
Fax Number	:

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

Provider Enumeration Date	:	06/10/2018
Last Update Date	:	06/10/2018

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Directions to “ CHELSEA HOSEY ” Practice Location

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