Healthcare Provider Details
I. General information
NPI: 1922644277
Provider Name (Legal Business Name): CHELSEA STEUDE MED, BCBA, COBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/21/2019
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
490 WHITE POND DR
AKRON OH
44320-1122
US
IV. Provider business mailing address
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS IN
46268-6135
US
V. Phone/Fax
- Phone: 330-777-3284
- Fax: 317-520-8200
- Phone: 855-324-0885
- Fax: 317-520-8200
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | COBA.00621 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | 1-19-38052 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: