Individual provider Active NPI

Courtney Breanne Schellman, BCBA

  • Behavior Analyst
  • Westminster, CA
National Provider Identifier
1538677463
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
13950 Milton Ave
Westminster, CA 92683-2900
Phone
(855) 832-6727
NPI assigned
Jan 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

13950 Milton Ave
Westminster, CA 92683-2900

Mailing address

13950 Milton Ave Ste 200B
Westminster, CA 92683-2939
Phone (855) 832-6727

Other practice location 1

200 N Vineyard Blvd
Honolulu, HI 96817
Phone (808) 599-9650

Other practice location 2

710 Green St
Honolulu, HI 96813-2119
Phone (808) 599-9650

Other practice location 3

20 Courthouse Sq
Jasper, TN 37347-3530
Phone (423) 805-9888

Other names 1

  • Courtney Breanne Charette-Manning Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1538677463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13950 MILTON AVE STE 200B",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926832939",
            "telephone_number": "855-832-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13950 MILTON AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926832900",
            "telephone_number": "855-832-6727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N Vineyard Blvd",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "96817",
            "country_code": "US",
            "telephone_number": "808-599-9650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 Green St",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968132119",
            "country_code": "US",
            "telephone_number": "808-599-9650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Courthouse Sq",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "TN",
            "postal_code": "373473530",
            "country_code": "US",
            "telephone_number": "423-805-9888",
            "fax_number": "423-805-9889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHELLMAN",
        "first_name": "COURTNEY",
        "middle_name": "BREANNE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "CHARETTE-MANNING",
            "middle_name": "BREANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.