Charisse Regina Palaad, MS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-45153 Issued in CA

Practice address

400 W Ventura Blvd Ste 230
Camarillo, CA 93010-9142

Phone

(858) 264-5858

NPI assigned

Oct 3, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1124538202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W VENTURA BLVD STE 230",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930109142",
            "telephone_number": "858-264-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W VENTURA BLVD STE 230",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930109142",
            "telephone_number": "858-264-5858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31344 Via Colinas Ste 108",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913626797",
            "country_code": "US",
            "telephone_number": "805-379-3212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALAAD",
        "first_name": "CHARISSE REGINA",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-17-40802",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-20-45153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE HOLMAN GROUP",
            "identifier": "45-3589857",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pacifica Dermatology
• Pacifica Institute of Cosmetic & Reconstructive Surgery Medical Group
• Scott W Packham, DDS
• Joselyn Lizabeth Padilla
• Matthew Page
• Kelsea Johanna Palace, RD
• Adrina Palacios
• Ayari Nataly Palencia Chavez
• Erin Palmer
• Terri Palmer

• Behavior Analyst in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.