MEDICARE: CHELSEA JAMISON

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	106S00000X	Behavior Technician	1930163182	IN

General Provider Information

NPI Number	:	1831605880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA JAMISON

Provider Business Mailing Address
First Line	:	7162 READING RD STE 300
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45237-3899
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7162 READING RD STE 300
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45237-3899
Country	:	US
Telephone Number	:	513-961-5900
Fax Number	:

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

Provider Enumeration Date	:	12/28/2017
Last Update Date	:	12/28/2017

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Directions to “ CHELSEA JAMISON ” Practice Location

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