Individual provider Active NPI

Chelsea Alexandrea Silveira Burgos, BCBA

  • Behavior Analyst
  • Manteca, CA
National Provider Identifier
1184125429
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBABA524 Issued in HI
Practice address
425 Benjamin Place
Manteca, CA 95337-6524
Phone
(209) 603-2249
Fax
(209) 670-9259
NPI assigned
Feb 22, 2018
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-19-40084 NU
Behavior Analyst 103K00000X LBA0571 NV
Behavior Analyst 103K00000X AZBEH-000948 AZ
Behavior Analyst 103K00000X BA61170689 WA
Behavior Analyst 103K00000X LBABA524 HI Primary

Addresses

Primary practice location

425 Benjamin Place
Manteca, CA 95337-6524

Mailing address

425 Benjamin Place
Manteca, CA 95337-6524
Phone (209) 603-2249

Other practice location 1

2850 N Tracy Blvd Ste 202
Tracy, CA 95376-7767
Phone (855) 223-7123

Other identifiers 1

IdentifierTypeStateIssuer
1-19-40084OtherBOARD CERTIFIED BEHAVIOR ANALYST CERTIFICATE NUMBER

Other names 1

  • Chelsea Alexandrea Silveira Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AZBEH-000948AZMDBehavioral Analyst
LBABA524HIMDBehavioral Analyst
LBA0571NVMDBehavioral Analyst
BA61170689WAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Bbxcs LLC CurrentSince Sep 28, 2021 Accepting new patients
Kadiant, LLC Behavior Analyst Past Accepting new patients

Locations

179 W North St
Manteca, CA 95336
Phone (209) 957-3888

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1184125429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 BENJAMIN PLACE",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953376524",
            "telephone_number": "209-603-2249",
            "fax_number": "209-670-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 BENJAMIN PLACE",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953376524",
            "telephone_number": "209-603-2249",
            "fax_number": "209-670-9259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2850 N Tracy Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Tracy",
            "state": "CA",
            "postal_code": "953767767",
            "country_code": "US",
            "telephone_number": "855-223-7123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVEIRA BURGOS",
        "first_name": "CHELSEA",
        "middle_name": "ALEXANDREA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-19-40084",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0571",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "AZBEH-000948",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA61170689",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "LBABA524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED BEHAVIOR ANALYST CERTIFICATE NUMBER",
            "identifier": "1-19-40084",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "SILVEIRA",
            "middle_name": "ALEXANDREA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.