Provider Demographics
NPI:1336440866
Name:PICARD, CHELSEA JO (MED, BCBA, LABA)
Entity type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:JO
Last Name:PICARD
Suffix:
Gender:F
Credentials:MED, BCBA, LABA
Other - Prefix:MISS
Other - First Name:CHELSEA
Other - Middle Name:JO
Other - Last Name:PAAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 E MAIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-2806
Mailing Address - Country:US
Mailing Address - Phone:508-478-0207
Mailing Address - Fax:508-634-6984
Practice Address - Street 1:55 MAIN ST STE 102
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01020-1899
Practice Address - Country:US
Practice Address - Phone:508-478-0207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-15
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
MA1674103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst