Karen Ann Chanda, EARLY INTERVENTION
Individual provider Active NPI Behavior Analyst · Cortez, CO
NPI 1043452006 · NPPES record last updated Nov 11, 2021
Key facts
- NPI
- 1043452006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 23 S Beech St # B102
Cortez, CO 81321-3751 - Phone
- (970) 946-1539
- NPI assigned
- Apr 6, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Networks
- Healthfirst Medicare Network H9678
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes | ||
| Specialist | 174400000X |
Addresses
Primary practice location
23 S Beech St # B102
Cortez, CO 81321-3751
Mailing address
126 Walnut Rd
Kings Park, NY 11754-2427
Phone (631) 979-3861
Other practice location 1
11601 Wilshire Blvd
Los Angeles, CA 90025-0509
Phone (605) 271-2690
Other practice location 2
3330 Cumberland Blvd SE
Atlanta, GA 30339-5995
Phone (605) 271-2690
Other practice location 3
100 Illinois St
Saint Charles, IL 60174-1866
Phone (605) 271-2690
Other practice location 4
848 Executive Dr
Oviedo, FL 32765-7699
Phone (605) 906-8806
Other practice location 5
1310 Oviedo Mall Blvd
Oviedo, FL 32765-7418
Phone (605) 271-2690
Other practice location 6
1704 Westland Rd
Cheyenne, WY 82001-3322
Phone (605) 271-2690
Other practice location 7
126 Walnut Rd
Kings Park, NY 11754-2427
Phone (631) 979-3861
Other providers in Cortez, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.