Provider Demographics
NPI:1740824176
Name:KIM, CHELSEY (BCBA, LABA)
Entity type:Individual
Prefix:
First Name:CHELSEY
Middle Name:
Last Name:KIM
Suffix:
Gender:F
Credentials:BCBA, LABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 ARLINGTON ST
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-2609
Mailing Address - Country:US
Mailing Address - Phone:516-605-5494
Mailing Address - Fax:
Practice Address - Street 1:66 ARLINGTON ST
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-2609
Practice Address - Country:US
Practice Address - Phone:516-605-5494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-29
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst