Chanisara Kitpetnee, M.A., B.C.B.A.
Individual provider Active NPI Behavior Analyst · Encino, CA
NPI 1124415260 · NPPES record last updated Apr 15, 2015
Key facts
- NPI
- 1124415260
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 15720 Ventura Blvd
#403
Encino, CA 91436-2914 - Phone
- (818) 788-2388
- NPI assigned
- Apr 15, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child Counseling & Behavior Therapy Clinic | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
15720 Ventura Blvd
#403
Encino, CA 91436-2914
Mailing address
15720 Ventura Blvd
#403
Encino, CA 91436-2914
Other providers in Encino, CA
- Kristie E Kirby
- Lindsay Kiriakos
- Latoya L Kirkland
- Gerald M Kirshbaum
- Bernard Kirzner
- Julie Klamon
- Allan H Klass
- Jacqueline Klein
- Jeffrey Howard Klein
- Russell A Klein
All providers in Encino, CA · Behavior Analyst in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2015. 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.