Active NPI
Chandler Holdren Khoury, MASTERS
- Behavior Analyst
- West Chester, OH
National Provider Identifier
1114524501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 7413 Squire CT
West Chester, OH 45069-2313 - Phone
- (513) 847-4685
- Fax
- (513) 847-4763
- NPI assigned
- Oct 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | OH | Primary |
Addresses
Primary practice location
7413 Squire CT
West Chester, OH 45069-2313
Mailing address
7413 Squire CT
West Chester, OH 45069-2313
Phone (513) 847-4685
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005845 | Medicaid | OH |
Other names 1
- Miss Chandler Herron Holdren
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1114524501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7413 SQUIRE CT",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450692313",
"telephone_number": "513-847-4685",
"fax_number": "513-847-4763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7413 SQUIRE CT",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450692313",
"telephone_number": "513-847-4685",
"fax_number": "513-847-4763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOURY",
"first_name": "CHANDLER",
"middle_name": "HOLDREN",
"name_prefix": "Mrs.",
"credential": "MASTERS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-08",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005845",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHANDLER",
"last_name": "HOLDREN",
"middle_name": "HERRON",
"prefix": "MISS",
"credential": "BACHELORS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.