Provider Demographics
NPI:1275419210
Name:GRAHAM, CHELSY (MA, BCBA)
Entity type:Individual
Prefix:
First Name:CHELSY
Middle Name:
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2308 LITTLE TREE BND
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-1530
Mailing Address - Country:US
Mailing Address - Phone:818-288-5982
Mailing Address - Fax:
Practice Address - Street 1:8300 N FM 620 RD STE 100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78726-4007
Practice Address - Country:US
Practice Address - Phone:512-920-5171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst