Provider Demographics
NPI:1407244429
Name:CASSLER, CHELSEA DORE (MA BCBA)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:DORE
Last Name:CASSLER
Suffix:
Gender:F
Credentials:MA BCBA
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:MICHELE
Other - Last Name:DORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:611 DRAKES LNDG
Mailing Address - Street 2:
Mailing Address - City:MARY ESTHER
Mailing Address - State:FL
Mailing Address - Zip Code:32569-1566
Mailing Address - Country:US
Mailing Address - Phone:337-484-7678
Mailing Address - Fax:
Practice Address - Street 1:3182 GULF BREEZE PKWY
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32563-3248
Practice Address - Country:US
Practice Address - Phone:185-093-2821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-29
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst