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NPI Code Detail

MEDICARE: CHELSEA ALLINE DENMARK RBT

MEDICARE:   CHELSEA ALLINE DENMARK  RBT
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
1106S00000XBehavior TechnicianRBT-20-119814TX

General Provider Information

NPI Number : 1841815198
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA ALLINE DENMARK RBT
Provider Business Mailing Address
First Line : 475 OXFORD DR
Second Line :
City : NEW BRAUNFELS
State : TX
Zip : 78130
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 475 OXFORD DR
Second Line :
City : CANYON LAKE
State : TX
Zip : 78130-7813
Country : US
Telephone Number : 830-943-7273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2020
Last Update Date : 06/12/2020

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Directions to “ CHELSEA ALLINE DENMARK RBT” Practice Location

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