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NPI Code Detail

MEDICARE: CHELSEA SMITH

MEDICARE: CHELSEA SMITH
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 TechnicianMA

General Provider Information

NPI Number : 1104785963
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA SMITH
Provider Business Mailing Address
First Line : 350 FAIRWAY DR STE 10133441
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-1834
Country : US
Telephone Number : 877-418-2978
Fax Number : 866-500-2186
Provider Business Practice Location Address
First Line : 225 CEDAR HILL ST STE 200
Second Line :
City : MARLBOROUGH
State : MA
Zip : 01752-5900
Country : US
Telephone Number : 888-880-9244
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/19/2026

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Directions to “ CHELSEA SMITH ” Practice Location

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