Alysia Chavez, BT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

12395 Lewis St Ste 202
Garden Grove, CA 92840-4694

Phone

(714) 867-6384

NPI assigned

Feb 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Theology

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

{
    "created_epoch": "1580601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1114558749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 RUBY DR APT D",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313233",
            "telephone_number": "760-620-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12395 LEWIS ST STE 202",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404694",
            "telephone_number": "714-867-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "ALYSIA",
        "credential": "BT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-02",
        "last_updated": "2023-11-27",
        "certification_date": "2020-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR THERAPIST",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "achavez_2012@outlook.com",
            "affiliation": "Y",
            "affiliationName": "ICAN-B",
            "address_1": "12395 Lewis St Ste 202",
            "city": "Garden Grove",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928404694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vincent Chau
• Ibrahim J Chaudhry
• Maria Teresa Chavarin
• Orion Sean Chavatipon
• Alma Rosa Chavez, PHARMD
• Ashley Chavez
• Carlos Enrique Chavez, D.D.S., M.S.
• Deborah Lorette Chavez
• Emily Chavez
• Erika Chavez

• Behavior Analyst in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.