Kassandra Chabolla

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-65043 Issued in CA

Practice address

1405 Commercial Way Ste 120
Bakersfield, CA 93309-0626

Phone

(855) 223-7123

Fax

(619) 374-7134

NPI assigned

Aug 17, 2020

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

• Kassandra Vicenec Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1154933752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740780",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740780",
            "telephone_number": "855-223-7123",
            "fax_number": "619-374-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 COMMERCIAL WAY STE 120",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090626",
            "telephone_number": "855-223-7123",
            "fax_number": "619-374-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHABOLLA",
        "first_name": "KASSANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-23-65043",
            "primary": true
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASSANDRA",
            "last_name": "VICENEC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda A Cervantez
• Analene Zulueta Cesar, FNP, BC
• Ariany Maria Cespedes Saenz, PPS
• Gina Cha, MD
• Lily Cha, MS, AMFT
• Alejandra Chacon-Trejo
• Alberto Chacon, LVN
• Daniel Chacon
• Destiny Chacon
• Minerva Chacon, NP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.