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NPI Code Detail

MEDICARE: CHELSEY OLESON BCBA

MEDICARE: CHELSEY OLESON 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 : 1730568072
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEY OLESON BCBA
Provider Business Mailing Address
First Line : 1900 SILVER LAKE RD NW STE 110
Second Line :
City : NEW BRIGHTON
State : MN
Zip : 55112-1789
Country : US
Telephone Number : 612-464-6671
Fax Number : 651-628-0411
Provider Business Practice Location Address
First Line : 1900 SILVER LAKE RD NW STE 110
Second Line :
City : NEW BRIGHTON
State : MN
Zip : 55112-1789
Country : US
Telephone Number : 612-464-6671
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2015
Last Update Date : 05/18/2026

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Directions to “ CHELSEY OLESON BCBA” Practice Location

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