Christine Marie Kessler, BCBA, LMSW, MSW

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-18490 Issued in MI

Practice address

21501 Lakebreeze St
Saint Clair Shores, MI 48082-2206

Phone

(989) 621-7662

NPI assigned

Mar 1, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Christine Marie Candelaria Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1134493687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21501 LAKEBREEZE ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480822206",
            "telephone_number": "989-621-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21501 LAKEBREEZE ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480822206",
            "telephone_number": "989-621-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "BCBA, LMSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "1-15-18490",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093996",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "CANDELARIA",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "LLMSW, MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Whitney Kelly
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• Andrew Michael Keltz, M.S.
• Erin Kennedy, OTR
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• Mazen Khalidi, MD
• Holly Kholdani, D.D.S.
• Lisa Khoury, M.A., ED.S
• Jennifer Kida
• Jessica Anne Kidd, LMSW

• Behavior Analyst in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.