Courtney A Chapin

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

021079100 Issued in FL

Practice address

10112 NW 41St St
Doral, FL 33178-2349

Phone

(305) 401-5259

NPI assigned

Dec 1, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Childrens Behavior Therapy Inc

  • Behavior Analyst
  • Miramar, FL
  • NPI 1215468715
  NPD (past)

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1265947014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12361 SW 124TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865478",
            "telephone_number": "305-235-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10112 NW 41ST ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782349",
            "telephone_number": "305-401-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPIN",
        "first_name": "COURTNEY",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "021079100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EAHCA013Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christian Chang
• Rose Marie Chang
• Saily Chang
• Sana Naeem Changezi, DDS
• Chanet Chanteng Gonzalez
• John A Chaquinga
• Jessica Charles
• Stanley Jean Charles
• Charlotte a Garzon D C P a
• Tiffany Samantha Charlton, APRN

• Behavior Technician in Doral, FL
• Providers in Doral, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.