Individual
CHELSEA VALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
1015 MCKINLEY ST, BENBROOK, TX 76126-3427
(817) 249-8100
(817) 249-2215
Mailing address
3100 PREMIER DR STE 234, IRVING, TX 75063-2693
(972) 756-1222
(469) 374-0800
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1--18-29188
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-29188
BACB
TX
Enumeration date
03/27/2018
Last updated
03/27/2018
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