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Individual

MS. CHELSEY TAYLOR GEORGOULIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, BCBA, LBA

Contact information

Practice address
15007 CASBAH DR, PFLUGERVILLE, TX 78660-6249
(978) 866-3234
Mailing address
15007 CASBAH DR, PFLUGERVILLE, TX 78660-6249
(978) 866-3234
(317) 520-8200

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3356
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-14-16217
BCBA CERTIFICATE
01
3356
TEXAS LBA
TX
Enumeration date
06/07/2013
Last updated
04/25/2022
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