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NPI Code Detail

MEDICARE: CHELSIE SCHULTZ

MEDICARE: CHELSIE SCHULTZ
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 Technician

General Provider Information

NPI Number : 1871062695
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSIE SCHULTZ
Provider Business Mailing Address
First Line : 23046 AVENIDA DE LA CARLOTA STE 600
Second Line :
City : LAGUNA HILLS
State : CA
Zip : 92653-1537
Country : US
Telephone Number : 949-543-6950
Fax Number : 888-403-6922
Provider Business Practice Location Address
First Line : 23046 AVENIDA DE LA CARLOTA STE 600
Second Line :
City : LAGUNA HILLS
State : CA
Zip : 92653-1537
Country : US
Telephone Number : 949-543-6950
Fax Number : 888-403-6922
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2018
Last Update Date : 11/21/2018

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Directions to “ CHELSIE SCHULTZ ” Practice Location

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