Provider Demographics
NPI:1043756125
Name:ADELMANN, CHELSEA NOELLE (RBT)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:NOELLE
Last Name:ADELMANN
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:MISS
Other - First Name:CHELSEA
Other - Middle Name:NOELLE
Other - Last Name:BAIRD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RBT
Mailing Address - Street 1:9615B MISSOURI ST
Mailing Address - Street 2:
Mailing Address - City:OSCODA
Mailing Address - State:MI
Mailing Address - Zip Code:48750-1956
Mailing Address - Country:US
Mailing Address - Phone:719-648-0856
Mailing Address - Fax:
Practice Address - Street 1:9615B MISSOURI ST
Practice Address - Street 2:
Practice Address - City:OSCODA
Practice Address - State:MI
Practice Address - Zip Code:48750-1956
Practice Address - Country:US
Practice Address - Phone:719-648-0856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-12
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician