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NPI Code Detail

MEDICARE: MS. CHELSEA DEVOIR M.ED, BCBA

MEDICARE: MS. CHELSEA DEVOIR M.ED, BCBA
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1700293008
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHELSEA DEVOIR M.ED, BCBA
Provider Business Mailing Address
First Line : 7615 GOLDEN TRIANGLE DR STE A
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55344-3733
Country : US
Telephone Number : 952-767-2974
Fax Number :
Provider Business Practice Location Address
First Line : 7615 GOLDEN TRIANGLE DR STE A
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55344-3733
Country : US
Telephone Number : 952-767-2974
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2014
Last Update Date : 01/10/2022

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