Charisse Elleene Esparza, BCABA

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-21-11885

Practice address

8100 E 22ND St N Ste 1600-B
Wichita, KS 67226-2321

Phone

(316) 613-3543

NPI assigned

Jan 15, 2018

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

• Charisse Elleene Deming 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": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1780192591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 N PINE GROVE CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672125019",
            "telephone_number": "562-447-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 E 22ND ST N STE 1600-B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262321",
            "telephone_number": "316-613-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPARZA",
        "first_name": "CHARISSE",
        "middle_name": "ELLEENE",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-15",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": "0-21-11885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARISSE",
            "last_name": "DEMING",
            "middle_name": "ELLEENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carrie Esgro
• Sahar Eshghi, DPT
• Destini Leigh Eskridge, PA
• Samantha Eskridge
• Dena Forough Esmaeili, PHARMACY INTERN
• Michael Nmi Esparza, CHIROPRACTOR
• Gerardo Ivan Espino Sr., COTA/L
• Nicole Espinosa, LPC
• Marie Espinoza, RN
• Samantha J Espinoza, MASTERS

• Assistant Behavior Analyst in Wichita, KS
• Providers in Wichita, KS by specialty
• Assistant Behavior Analyst in Kansas

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