Angelica Johanna Cham

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2009 Las Estrellas CT
Camarillo, CA 93012-4070

Phone

(805) 407-4533

NPI assigned

Aug 3, 2019

Last updated

Aug 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Angelica Johanna Reynaga Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: acham@itsbehavioral.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Its Behavioral

  • Behavior Analyst
  • Camarillo, CA
  • NPI 1407368822
  NPD (past)

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

{
    "created_epoch": "1564790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564790400000",
    "number": "1437704848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 N 12TH ST APT D",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930602995",
            "telephone_number": "805-994-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 LAS ESTRELLAS CT",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930124070",
            "telephone_number": "805-407-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAM",
        "first_name": "ANGELICA",
        "middle_name": "JOHANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-03",
        "last_updated": "2019-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5397298",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ACham@itsbehavioral.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2009 Las Estrellas Ct",
            "city": "Camarillo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930124070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANGELICA",
            "last_name": "REYNAGA",
            "middle_name": "JOHANNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Raymundo Cervantes
• Selene Cervantes
• Aldo Cervantez
• Mary Katherine Cervantez
• Marissa Chacon
• Heather Chamberlin-Scholle, LCSW
• Jessica Nicole Chanas, MFT TRAINEE
• Emily Chane
• Juliet Chang, DMD, MSD
• Robert S Chang

• Behavior Technician in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2019; 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.