Brittany Chiasson

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA61574472 Issued in WA

Practice address

471 E Valley Rose Dr
Shelton, WA 98584-8113

Phone

(360) 463-7202

NPI assigned

May 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1651363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1316682602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 E VALLEY ROSE DR",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985848113",
            "telephone_number": "360-463-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 E VALLEY ROSE DR",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985848113",
            "telephone_number": "360-463-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIASSON",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-01",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "WA",
            "license": "61471242",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA61574472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedar Creek Physical Therapy Limited Partnership
• Angie M Chambers, CDP
• Heidi Gail Chambers, M.A.
• Robbie Chandler
• Anne-Marie Chapman, MS, CCC-SLP
• Carolyn Ann Choma, MA
• Joan Gary Clark, M.A., LMHC
• Shera Jean Clark
• John Clayton, D.O.
• Milonna Close, LMHC

• Behavior Analyst in Shelton, WA
• Providers in Shelton, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.