Individual provider Active NPI

Chandni Patel, BCBA

  • Behavior Analyst
  • Palo Alto, CA
National Provider Identifier
1396210548
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-31064 Issued in IL
Practice address
2262 Harvard St
Palo Alto, CA 94306-1351
Phone
(919) 758-5339
NPI assigned
Oct 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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 1-18-31064 IL Primary

Addresses

Primary practice location

2262 Harvard St
Palo Alto, CA 94306-1351

Mailing address

2262 Harvard St
Palo Alto, CA 94306-1351
Phone (919) 758-5339

Other practice location 1

2007 W Hedding St Ste 201
San Jose, CA 95128-1428
Phone (866) 375-2437

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL chandni@2020behavior.com.co

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

Practice roles

OrganizationSpecialtyStatusNew patients
2020 Behavior LLC Behavior Analyst PastSince Jan 26, 2022 Accepting new patients
A.G.E.S. Learning Solutions, LLC Behavior Analyst PastSince Feb 27, 2022 Accepting new patients

Organizations & group practices 2

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": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1396210548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2262 HARVARD ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061351",
            "telephone_number": "919-758-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2262 HARVARD ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061351",
            "telephone_number": "919-758-5339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2007 W Hedding St Ste 201",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951281428",
            "country_code": "US",
            "telephone_number": "866-375-2437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "CHANDNI",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-18-31064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "chandni@2020behavior.com.co",
            "affiliation": "N",
            "address_1": "2262 Harvard St",
            "city": "Palo Alto",
            "state": "CA",
            "country_code": "US",
            "postal_code": "943061351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.