Brainca Shanta Chestnut

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

120 E Luzon Dr
Fort Liberty, NC 28307-6012

Phone

(229) 726-8738

NPI assigned

Jan 30, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Brainca Shanta Chestnut Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1700699865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FAIRWAY DR FL FAIRWAY",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E LUZON DR",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283076012",
            "telephone_number": "229-726-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESTNUT",
        "first_name": "BRAINCA",
        "middle_name": "SHANTA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRAINCA",
            "last_name": "CHESTNUT",
            "middle_name": "SHANTA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cornelius Tucker Carwile III, D. C.
• Bobbi J Casas, FNP
• Daniel Caspary
• Robby-Sean Echanes Cayetano, PHARM. D
• Patrick Miles Chesley, M.D.
• Hui-Feng Chiu, DDS
• Edwin Y Choi, M.D.
• Chante' R Clark, LCSW
• Linda Gail Cook, RN
• Margerie Michiko Coomes, PTA

• Behavior Technician in Fort Liberty, NC
• Providers in Fort Liberty, NC by specialty
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.