Active NPI
Lance Chestnut, BT
- Behavior Technician
- Philadelphia, PA
National Provider Identifier
1235929233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 110 Church St
Philadelphia, PA 19106-2201 - Phone
- (610) 732-0689
- NPI assigned
- May 12, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | PA | ||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
110 Church St
Philadelphia, PA 19106-2201
Mailing address
5206 Bella Vista Rd
Drexel Hill, PA 19026-4804
Other names 1
- Lance Chestnut
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
- Bachelor of Theology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1235929233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5206 BELLA VISTA RD",
"city": "DREXEL HILL",
"state": "PA",
"postal_code": "190264804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CHURCH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191062201",
"telephone_number": "610-732-0689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHESTNUT",
"first_name": "LANCE",
"credential": "BT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-12",
"last_updated": "2025-06-02",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LANCE",
"last_name": "CHESTNUT",
"credential": "BT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.