Individual provider Active NPI

Chasity Mitchell Evans, M.A., BCBA

  • Behavior Analyst
  • Royal Palm Beach, FL
National Provider Identifier
1366830366
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-17062
Practice address
222 Seminole Lakes Dr
Royal Palm Beach, FL 33411-4207
Phone
(251) 635-7369
NPI assigned
Dec 30, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 1-14-17062 Primary

Addresses

Primary practice location

222 Seminole Lakes Dr
Royal Palm Beach, FL 33411-4207

Mailing address

222 Seminole Lakes Dr
Royal Palm Beach, FL 33411-4207
Phone (251) 635-7369

Other practice location 1

2431 Creighton Rd
Pensacola, FL 32504-7337
Phone (850) 564-1166

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 Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Little Victories, 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": "1419897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1366830366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SEMINOLE LAKES DR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114207",
            "telephone_number": "251-635-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SEMINOLE LAKES DR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114207",
            "telephone_number": "251-635-7369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2431 Creighton Rd",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325047337",
            "country_code": "US",
            "telephone_number": "850-564-1166",
            "fax_number": "850-912-8561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "CHASITY",
        "middle_name": "MITCHELL",
        "name_prefix": "Mrs.",
        "credential": "M.A., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-14-17062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.