MEDICARE: CHELSEA SELLERS LEP

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	103TS0200X	School Psychologist	4818	CA

General Provider Information

NPI Number	:	1447106372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA SELLERS LEP

Provider Business Mailing Address
First Line	:	11337 VERONA DR
Second Line	:
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91701-8555
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11337 VERONA DR
Second Line	:
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91701-8555
Country	:	US
Telephone Number	:	760-490-2403
Fax Number	:

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

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

Similar Medicare Providers

1518191477 — AARON RAMON YAP P.T.A.
Practice Location Address:

9227 HAVEN AVE STE 300
RANCHO CUCAMONGA, CA
91730-8555

Practice Phone: 800-642-5031
Practice Fax:

1114214632 — PORTIA C JAMES M.A., BCBA
Practice Location Address:

8555 CAVA DR
RANCHO CUCAMONGA, CA
91730-8717

Practice Phone: 909-749-5204
Practice Fax: 909-774-0113

1013553296 — BRIAN BECKETTE
Practice Location Address:

9227 HAVEN AVE STE 300
RANCHO CUCAMONGA, CA
91730-8555

Practice Phone: 213-378-9162
Practice Fax:

1225662570 — RICKY JAMES
Practice Location Address:

8555 CAVA DR
RANCHO CUCAMONGA, CA
91730-8717

Practice Phone: 909-662-7100
Practice Fax:

1821622580 — YOELMIS CEJA
Practice Location Address:

8555 CAVA DR
RANCHO CUCAMONGA, CA
91730-8717

Practice Phone: 909-749-5204
Practice Fax: 909-774-0113

1275167934 — JESSICA HAZELWONDER
Practice Location Address:

8555 CAVA DR
RANCHO CUCAMONGA, CA
91730-8717

Practice Phone: 909-749-5204
Practice Fax: 909-774-0113

Directions to “ CHELSEA SELLERS LEP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.