Angelique Chalala

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

5920 Lavender Breeze St
North Las Vegas, NV 89081-6848

Phone

(702) 476-2777

NPI assigned

Jul 1, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Way of Life Community Services

  • Community/Behavioral Health Agency
  • Henderson, NV
  • NPI 1265142590
  NPD Authorized official

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720051200000",
    "number": "1730924697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 SERENITY RIDGE CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525913",
            "telephone_number": "702-406-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 LAVENDER BREEZE ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890816848",
            "telephone_number": "702-476-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALALA",
        "first_name": "ANGELIQUE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramon Diego Chacon Tamayo
• Annelisia Chacon
• Cathy B Chacon
• Jocelynn Chacon
• Konjit Chakaw
• Scott Eric Chamberlain, D.O.
• Lyndsay Chamizo, RD
• Andrea Dorothy Chan, BSC, MACC, CFE
• CHI Leung Chan, R.PH
• Frances Cang Chan

• Behavior Analyst in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2024; 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.