Chelsey Farris

Individual provider Active NPI Behavior Analyst · Coffeyville, KS

NPI 1497219877 · NPPES record last updated Aug 13, 2025

Key facts

NPI
1497219877
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
00394 (KS)
Practice address
2404 W 8TH St
Coffeyville, KS 67337-2931
Phone
(620) 330-9036
Fax
(620) 206-2514
NPI assigned
Jan 30, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
00394KSMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Born to Blossom LLC Behavior Analyst Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 00394 KS Yes
Behavior Technician 106S00000X

Addresses

Primary practice location

2404 W 8TH St
Coffeyville, KS 67337-2931

Mailing address

2404 W 8TH St
Coffeyville, KS 67337-2931
Phone (620) 330-9036

Other practice location 1

1141 Military Ave
Baxter Springs, KS 66713-1509
Phone (620) 330-9036

Other providers in Coffeyville, KS

All providers in Coffeyville, KS · Behavior Analyst in Kansas

Sources for this page

Verify at the official NPI Registry.