MEDICARE: CHELSEA ANNE MAZIES

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	000129	GA
2	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1043809874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA ANNE MAZIES

Provider Business Mailing Address
First Line	:	144 ABACO WAY
Second Line	:
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32082-1602
Country	:	US
Telephone Number	:	910-484-1711
Fax Number	:

Provider Business Practice Location Address
First Line	:	144 ABACO WAY
Second Line	:
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32082-1602
Country	:	US
Telephone Number	:	910-484-1711
Fax Number	:

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

Provider Enumeration Date	:	01/15/2021
Last Update Date	:	12/04/2025

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Directions to “ CHELSEA ANNE MAZIES ” Practice Location

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