Provider Demographics
NPI:1053794693
Name:MACWILLIAM, CHELSEA LEIGH SHANNON (BCBA)
Entity type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:LEIGH SHANNON
Last Name:MACWILLIAM
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:MS
Other - First Name:CHELSEA
Other - Middle Name:LEIGH
Other - Last Name:SHANNON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:1042 E TRINITY LN
Mailing Address - Street 2:APT A
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37216-3030
Mailing Address - Country:US
Mailing Address - Phone:937-694-0405
Mailing Address - Fax:
Practice Address - Street 1:1042 E TRINITY LN
Practice Address - Street 2:APT A
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37216-3030
Practice Address - Country:US
Practice Address - Phone:937-694-0405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-01
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst