Individual provider Active NPI

Andrea Marie Chipman, MS, BCBA

  • Behavior Analyst
  • Manchester, NH
National Provider Identifier
1235703554
Registry record updated Nov 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-49646 Issued in MA
Practice address
250 Commercial St Ste 40214
Manchester, NH 03101-1142
Phone
(603) 263-9628
NPI assigned
May 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-49646 MA Primary

Addresses

Primary practice location

250 Commercial St Ste 40214
Manchester, NH 03101-1142

Mailing address

12 Round Hill Rd
Sandown, NH 03873-2523
Phone (603) 793-1755

Other practice location 1

12 Round Hill Rd
Sandown, NH 03873-2523
Phone (603) 793-1755

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
A.B.a Behavioral Consulting, LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636761600000",
    "number": "1235703554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ROUND HILL RD",
            "city": "SANDOWN",
            "state": "NH",
            "postal_code": "038732523",
            "telephone_number": "603-793-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 COMMERCIAL ST STE 40214",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011142",
            "telephone_number": "603-263-9628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Round Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Sandown",
            "state": "NH",
            "postal_code": "038732523",
            "country_code": "US",
            "telephone_number": "603-793-1755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIPMAN",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-11-13",
        "certification_date": "2021-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "1-21-49646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2021; 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.