Chelsea Gabrielle Anderson, RBT

Individual provider Active NPI Case Manager/Care Coordinator · Moraine, OH

NPI 1104405265 · NPPES record last updated Jan 28, 2022

Key facts

NPI
1104405265
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
3095 Kettering Blvd
Moraine, OH 45439-1983
Phone
(937) 293-8300
NPI assigned
Apr 6, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-21-162942OHMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-21-162942 OH
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

3095 Kettering Blvd
Moraine, OH 45439-1983

Mailing address

3095 Kettering Blvd
Moraine, OH 45439-1983
Phone (937) 293-8300

Other practice location 1

9260 Marketplace Dr
Miamisburg, OH 45342-4478
Phone (937) 388-5110

Other names

  • Chelsea Gabrielle Wheaton Former name

Other providers in Moraine, OH

All providers in Moraine, OH · Case Manager/Care Coordinator in Ohio

Sources for this page

Verify at the official NPI Registry.