Emilee Ann Chacon, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-76469 Issued in TN

Practice address

2004 American Way Ste 109
Kingsport, TN 37660-5892

Phone

(423) 530-7600

NPI assigned

Oct 17, 2024

Last updated

Oct 17, 2024By the provider in NPPES

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

• Emilee Ann Gruenberger Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Common Thread ABA LLC

  • Behavior Analyst
  • Kingsport, TN
  • NPI 1144857764
  NPD (past)

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1790506368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 LANDCASTLE RD",
            "city": "CHURCH HILL",
            "state": "TN",
            "postal_code": "376426031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 AMERICAN WAY STE 109",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376605892",
            "telephone_number": "423-530-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACON",
        "first_name": "EMILEE",
        "middle_name": "ANN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1-24-76469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILEE",
            "last_name": "GRUENBERGER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• CBT Solutions, Inc.
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• Centerpointe Medical Clinic, LLC
• Centerwell Certified Healthcare Corp. (CenterWell Home Health)
• Frank B Chadwick Jr., MD
• Crystal Danielle Chafin, MSN-FNP
• Kanishka Chakraborty, M.D
• Marian L Chamberlin, MD
• Bonita Chambers, RDMS, RT-R

• Behavior Analyst in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.