Provider Demographics
NPI:1235580283
Name:CRAWFORD, CHELSEA LYNNE (BCBA)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:LYNNE
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6007 CHIMNEY HILL DR
Mailing Address - Street 2:
Mailing Address - City:NOLANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76559-4621
Mailing Address - Country:US
Mailing Address - Phone:254-238-1200
Mailing Address - Fax:254-393-0041
Practice Address - Street 1:1109 FLORENCE RD
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76541-7724
Practice Address - Country:US
Practice Address - Phone:254-238-1200
Practice Address - Fax:254-265-7134
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-30
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106E00000X
TX3003103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst