Chantana B Collins

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

8933 Skyrock CT
Columbia, MD 21046-1457

Phone

(443) 468-1075

NPI assigned

Dec 3, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Chantana B Chism Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1003386095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8933 SKYROCK CT",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461457",
            "telephone_number": "443-468-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8933 SKYROCK CT",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461457",
            "telephone_number": "443-468-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "CHANTANA",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANTANA",
            "last_name": "CHISM",
            "middle_name": "B",
            "credential": "MAIDEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Collaborative Counseling TMS
• Samantha Rachel Collazo
• Collective Healthcare Group Inc
• Jennifer Collier, RN
• Katie Anne Collier, LCPC
• Christopher Ryan Collins, M.A., CAC-AD
• Eileen Collins
• Eileen Vorbach Collins, RN
• Janessa Collins
• Jaylin Sierra Collins

• Behavior Technician in Columbia, MD
• Providers in Columbia, MD by specialty
• Behavior Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.