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NPI Code Detail

MEDICARE: CHELSY MARI ROSA ECHEVARRIA

MEDICARE: CHELSY MARI ROSA ECHEVARRIA
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 TechnicianRBT-21-197626OH

General Provider Information

NPI Number : 1740963719
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSY MARI ROSA ECHEVARRIA
Provider Business Mailing Address
First Line : 2733 E 12TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-4669
Country : US
Telephone Number : 833-455-8622
Fax Number :
Provider Business Practice Location Address
First Line : 2733 E 12TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-4669
Country : US
Telephone Number : 833-455-8622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2023
Last Update Date : 04/29/2026

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Directions to “ CHELSY MARI ROSA ECHEVARRIA ” Practice Location

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