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General NPI Number Information
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NPI Number | 1689248643
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Entity Type | Organization
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Legal Business Name | CHELSEY SAMPLEY, LLC
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Dates
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Enumeration Date | 05/14/2021
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 1735 MARYLAND AVE NE
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City | SAINT PETERSBURG
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State | FL
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Zip | 33703-3323
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Country | US
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Telephone | 813-550-8055
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Fax | 727-477-8775
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Provider Business Mailing Address
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Address Line | 1735 MARYLAND AVE NE
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City | SAINT PETERSBURG
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State | FL
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Zip | 33703-3323
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Country | US
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Telephone | 813-550-8055
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Fax | 727-623-0490
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Authorized Official
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Title or Position | BCBA
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Name | CHELSEY MICHELLE SAMPLEY
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Credential | BCBA
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Telephone | 813-550-8055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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