Provider Demographics
NPI:1487133310
Name:PLANTZ, CHELSEA SUZANNE (BCBA)
Entity type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:SUZANNE
Last Name:PLANTZ
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8721 SAN PABLO AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34287-5423
Mailing Address - Country:US
Mailing Address - Phone:941-626-6644
Mailing Address - Fax:941-564-7671
Practice Address - Street 1:8721 SAN PABLO AVE
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34287-5423
Practice Address - Country:US
Practice Address - Phone:941-626-6644
Practice Address - Fax:941-564-7671
Is Sole Proprietor?:No
Enumeration Date:2018-08-10
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst