Individual
CHELSEA LYNN PHILLIPS-PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
903 LAKE LILY DR APT A122, MAITLAND, FL 32751
(502) 612-3474
Mailing address
903 LAKE LILY DR APT A122, MAITLAND, FL 32751-7606
(502) 612-3474
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-27384
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019557900
—
FL
Enumeration date
04/20/2017
Last updated
06/07/2018
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