Individual
CHELSEY LYNNE EVANGELISTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1709 BUNKER HILL RD, COLUMBUS, GA 31907-6719
(904) 446-0953
(904) 485-8829
Mailing address
130 CORRIDOR RD UNIT 3292, PONTE VEDRA BEACH, FL 32004-7833
(904) 446-0953
(904) 485-8829
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-88367
GA
106S00000X
Behavior Technician
Primary
RBT-20-130738
GA
Other
Enumeration date
09/08/2020
Last updated
05/06/2026
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