Most Relevant Information
Provider Data
NPI Number: | 1003560392 |
Provider Name: | CHELSEY WHALEN |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 02/07/2022 |
Last Updated: | 02/07/2022 |
Provider Practice Location
4000 W MICHIGAN AVE
LANSING
MI
489172856
Practice Location Phone/Fax
Phone: | 5172580052 |
Fax: |
Provider Mailing Location
PO BOX 663
LAKELAND
MI
481430663
Provider Mailing Phone/Fax
Phone: | 8105992129 |
Fax: |