Active NPI
Jennifer Chavarin
- Behavior Analyst
- Surprise, AZ
National Provider Identifier
1649752551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BEH-001070
- Practice address
- 15116 N Cotton LN
Surprise, AZ 85388-9618 - Phone
- (623) 322-8250
- NPI assigned
- Sep 6, 2018
- Sex
- Female
- Sole proprietor
- No
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 | BEH-001070 | AZ | Primary |
Addresses
Primary practice location
15116 N Cotton LN
Surprise, AZ 85388-9618
Mailing address
13525 W Ocotillo LN
Surprise, AZ 85374-5333
Phone (623) 810-7479
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 |
|---|---|---|---|
| BEH-001070 | AZ | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T.E.a.M. 4 Kids, LLC | Current | Accepting new patients | |
| Action Behavior Centers Therapy LLC | Behavior Analyst | Past | Accepting new patients |
Locations
15116 N Cotton Ln
Surprise, AZ 85388
Phone (623) 322-8250
Organizations & group practices 2
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.
-
- Pediatric Occupational Therapist
- Surprise, AZ
- NPI 1386988723
-
- Behavior Analyst
- Austin, TX
- NPI 1699475509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1649752551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13525 W OCOTILLO LN",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853745333",
"telephone_number": "623-810-7479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15116 N COTTON LN",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853889618",
"telephone_number": "623-322-8250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVARIN",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-06",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH-001070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.