Denneille Kayla Chantiloupe

Individual provider Active NPI Behavior Technician · Wellington, FL

NPI 1598534893 · NPPES record last updated Dec 29, 2023

Key facts

NPI
1598534893
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1925 Birkdale Dr
Wellington, FL 33414-5809
Phone
(954) 906-7002
NPI assigned
Dec 27, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Sprout Behavioral Services, Inc. Past
since Dec 31, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1925 Birkdale Dr
Wellington, FL 33414-5809

Mailing address

11011 Sheridan St Ste 210
Hollywood, FL 33026-1531
Phone (954) 552-6668

Other providers in Wellington, FL

All providers in Wellington, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.