Active NPI
Lori Ann Chidester, BCABA
- Behavior Analyst
- Centerville, OH
National Provider Identifier
1649500059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 003-1034
- Practice address
- 170 E Spring Valley Rd
Centerville, OH 45458-3803 - Phone
- (859) 866-0892
- NPI assigned
- Jan 6, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 003-1034 | OH | Primary |
Addresses
Primary practice location
170 E Spring Valley Rd
Centerville, OH 45458-3803
Mailing address
834 Bay Colt LN
Union, KY 41091-8020
Phone (513) 861-0300
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003-1034 | OH | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262736000000",
"number": "1649500059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "834 BAY COLT LN",
"city": "UNION",
"state": "KY",
"postal_code": "410918020",
"telephone_number": "513-861-0300",
"fax_number": "513-861-0301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 E SPRING VALLEY RD",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454583803",
"telephone_number": "859-866-0892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIDESTER",
"first_name": "LORI",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "BCABA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-06",
"last_updated": "2010-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OH",
"license": "003-1034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.