Individual provider Active NPI

Elizabeth Anne Chatterton, M.ED., BCBA, LBA

  • Behavior Analyst
  • Grapevine, TX
National Provider Identifier
1730619388
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
3290 Issued in TX
Practice address
2401 Mustang Dr
Grapevine, TX 76051-8640
Phone
(817) 722-6118
NPI assigned
Jun 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-15-09810 CA
Behavior Analyst 103K00000X 3290 TX Primary

Addresses

Primary practice location

2401 Mustang Dr
Grapevine, TX 76051-8640

Mailing address

2401 Mustang Dr
Grapevine, TX 76051-8640
Phone (817) 722-6118

Other practice location 1

2447 Pacific Coast Hwy Ste 111
Hermosa Beach, CA 90254-2743
Phone (310) 374-3300

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
3290TXMDBehavioral Analyst
RBT-15-09810CAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730619388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 MUSTANG DR",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518640",
            "telephone_number": "817-722-6118",
            "fax_number": "469-754-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 MUSTANG DR",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518640",
            "telephone_number": "817-722-6118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2447 Pacific Coast Hwy Ste 111",
            "address_purpose": "LOCATION",
            "city": "Hermosa Beach",
            "state": "CA",
            "postal_code": "902542743",
            "country_code": "US",
            "telephone_number": "310-374-3300",
            "fax_number": "310-374-3307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHATTERTON",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "M.ED., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-21",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-15-09810",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "3290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.