MEDICARE: SANDBOX BEHAVIOR SOLUTIONS, PLLC

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	:	1013875053
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANDBOX BEHAVIOR SOLUTIONS, PLLC

Provider Business Mailing Address
First Line	:	16321 GREENGLADE DR
Second Line	:
City	:	GULFPORT
State	:	MS
Zip	:	39503-4956
Country	:	US
Telephone Number	:	601-325-3243
Fax Number	:

Provider Business Practice Location Address
First Line	:	14220 FARADAY TER
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23831-6590
Country	:	US
Telephone Number	:	601-325-3243
Fax Number	:

Authorized Official
Title or Position	:	BCBA/OWNER
Name	:	CHELSEA HILL
Credential	:	BCBA, LBA
Telephone Number	:	601-325-3243

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/09/2026

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