Active NPI
Paula Chan, BCABA
- Behavior Analyst
- Lutz, FL
National Provider Identifier
1245568856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0-09-3582
- Practice address
- 2907 Network PL
Apt. 204D
Lutz, FL 33559-3165 - Phone
- (216) 870-4584
- NPI assigned
- Nov 20, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0-09-3582 | FL | Primary |
Addresses
Primary practice location
2907 Network PL
Apt. 204D
Lutz, FL 33559-3165
Mailing address
2907 Network PL
Apt. 204D
Lutz, FL 33559-3165
Phone (216) 870-4584
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258675200000",
"number": "1245568856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2907 NETWORK PL",
"address_2": "APT. 204D",
"city": "LUTZ",
"state": "FL",
"postal_code": "335593165",
"telephone_number": "216-870-4584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2907 NETWORK PL",
"address_2": "APT. 204D",
"city": "LUTZ",
"state": "FL",
"postal_code": "335593165",
"telephone_number": "216-870-4584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "PAULA",
"credential": "BCABA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-20",
"last_updated": "2009-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "0-09-3582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.