Chenelle Grant

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-51835 Issued in FL

Practice address

4670 Lipscomb St NE Ste 10
Palm Bay, FL 32905-2927

Phone

(813) 906-6203

NPI assigned

Jul 19, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Building Blocks Applied Behavioral Services Inc

  • Behavior Analyst
  • Palm Bay, FL
  • NPI 1558015388
  NPD Authorized official
• Applied Behavioral Learning Experiences, Inc

  • Community/Behavioral Health Agency
  • Lakeland, FL
  • NPI 1760627905
  NPD
• Applied Behavioral Learning Experiences, Inc.

  • Behavior Analyst
  • Lakeland, FL
  • NPI 1831549674
  NPD (past)

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1649757956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4670 LIPSCOMB ST NE STE 10",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052927",
            "telephone_number": "813-906-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4670 LIPSCOMB ST NE STE 10",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052927",
            "telephone_number": "813-906-6203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 E Edgewood Dr",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338034014",
            "country_code": "US",
            "telephone_number": "863-619-2809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5454 Lithia Pinecrest Rd",
            "address_purpose": "LOCATION",
            "city": "Lithia",
            "state": "FL",
            "postal_code": "335472853",
            "country_code": "US",
            "telephone_number": "813-467-9280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Fairway Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334411817",
            "country_code": "US",
            "telephone_number": "888-880-9270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "CHENELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-51835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104507400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace & Comfort Homecare Services
• Gracious Nutrition Counseling Services LLC
• Rachel Lauren Grady, NP-C
• Carla Estele Graham
• Caitlin Grant
• Grasping Abundant Life LLC
• Clara Graves Hopkins
• Leonard Grecul, MD
• Shannon Patricia Green, LMHC
• Jeffrey Burt Greenbarg, M.D.

• Behavior Analyst in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.