Chileshe Chisanga, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-42396 Issued in CT

Practice address

2666 State St Ste A3
Hamden, CT 06517-2232

Phone

(888) 754-0398

NPI assigned

Sep 16, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Action Behavior Centers, LLC

  • Behavior Analyst
  • Denver, CO
  • NPI 1265191910
  NPD (past)

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1487260337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2666 STATE ST STE A3",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065172232",
            "telephone_number": "888-754-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2666 STATE ST STE A3",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065172232",
            "telephone_number": "888-754-0398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32C Wall St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "CT",
            "postal_code": "064433100",
            "country_code": "US",
            "telephone_number": "203-779-5918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHISANGA",
        "first_name": "CHILESHE",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1-20-42396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children'S Dental Associates of Hamden
• Children'S Medical Group, LLC
• Lindsay Chimileski, N.D.
• Chiropractic Care, LLC
• Chiropractic Health Care Center of Hamden, LLC
• Debbie A Chisolm, PHARM D
• Sungyun Cho
• Shelley Christ, APRN
• Chassidy Lynn Christian
• Kevin Kwok-Wah Chui, DPT, PHD

• Behavior Analyst in Hamden, CT
• Providers in Hamden, CT by specialty
• Behavior Analyst in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.