Provider Demographics
NPI:1184093536
Name:SAMPLEY, CHELSEY MICHELLE (BCBA)
Entity type:Individual
Prefix:MISS
First Name:CHELSEY
Middle Name:MICHELLE
Last Name:SAMPLEY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1735 MARYLAND AVE NE
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33703-3323
Mailing Address - Country:US
Mailing Address - Phone:813-550-8055
Mailing Address - Fax:813-550-8055
Practice Address - Street 1:1735 MARYLAND AVE NE
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33703-3323
Practice Address - Country:US
Practice Address - Phone:813-550-8055
Practice Address - Fax:813-550-8055
Is Sole Proprietor?:No
Enumeration Date:2015-09-16
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst