Most Relevant Information
Provider Data
| NPI Number: | 1003392978 |
| Provider Name: | CHELSEY AUGUSTINE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/13/2018 |
| Last Updated: | 07/13/2018 |
Provider Practice Location
1733 E G ST APT 131
ONTARIO
CA
917645400
Practice Location Phone/Fax
| Phone: | 9096097338 |
| Fax: |
Provider Mailing Location
1733 E G ST APT 131
ONTARIO
CA
917645400
Provider Mailing Phone/Fax
| Phone: | 9096097338 |
| Fax: |