Max Chisham

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

1154 S Governeour Rd
Wichita, KS 67207-2842

Phone

(316) 734-5070

NPI assigned

Jan 1, 2025

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

• Clarissa Rene Chisham Former 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": "1735689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735689600000",
    "number": "1073322483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6214 24TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 S GOVERNEOUR RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672072842",
            "telephone_number": "316-734-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISHAM",
        "first_name": "MAX",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-01",
        "last_updated": "2025-01-01",
        "certification_date": "2024-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARISSA",
            "last_name": "CHISHAM",
            "middle_name": "RENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pamela L Chiles, PT
• Bonnie S Chilton, OTR
• Charisse Chin, D.O.
• Suneetha Chintalapati
• Madhurya Reddy Chinthakuntla, MD
• Ji Eun Cho
• Laura Cho, DNP, APRN
• Rikki Choate, DPT
• Kasey Elizabeth Chobany, PA
• Joe Changhi Choi, RPH., MHS

• Assistant Behavior Analyst in Wichita, KS
• Providers in Wichita, KS by specialty
• Assistant Behavior Analyst in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2025; 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.