Chrysalis ABA Therapy Corp

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CHRYSALIS ABA THERAPY CORP

Practice address

6261 W Atlantic Blvd
Margate, FL 33063-5128

Phone

(617) 470-9827

Fax

(561) 816-4315

NPI assigned

Dec 22, 2023

Last updated

Apr 2, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

CHRYSALIS ABA THERAPY CORPAs reported in NPPES

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

Authorized official

Name

Beatriz Elizabeth Kouracles, MBA, BCBA, LBA, IBANPI 1083912679

Title

Ceo

Phone

(617) 470-9827

Specialties & licenses 1

Addresses

Tax ID family

Chrysalis ABA Therapy Corp2 organizations share this tax ID, including this one

Part of

Chrysalis ABA Therapy Corp

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Chrysalis ABA Therapy Corp

  • Behavior Analyst
  • Delray Beach, FL
  • NPI 1760838015
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Chrysalis ABA Therapy Corp

  • Behavior Analyst
  • Delray Beach, FL
  • NPI 1760838015
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beatriz Elizabeth Kouracles, MBA, BCBA, LBA

  • Behavior Analyst
  • West Palm Beach, FL
  • NPI 1083912679
  NPD Authorized official

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1407625015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6261 W ATLANTIC BLVD",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635128",
            "telephone_number": "561-359-3815",
            "fax_number": "561-816-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6261 W ATLANTIC BLVD",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635128",
            "telephone_number": "617-470-9827",
            "fax_number": "561-816-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS ABA THERAPY CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRYSALIS ABA THERAPY CORP",
        "enumeration_date": "2023-12-22",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "KOURACLES",
        "authorized_official_first_name": "BEATRIZ",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-470-9827",
        "authorized_official_credential": "MBA, BCBA, LBA, IBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Chitopoulos, PA-C
• Chiyan Medical Margate LLC
• Dhiraj P. Chotai, D.D.S.
• Poonam Nayyer Choudhry, MD
• Daniel Ross Christie, MD
• Amanda Churkoo, COTA/L
• Nercy Cisneros Parajon
• Cindy Cisneros
• Danie Citerme
• City of Margate Florida (City of Margate Fire Rescue)

• Behavior Analyst in Margate, FL
• Providers in Margate, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.