Citlaly Vernetta Chandler, AA

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1650 Spruce St
Riverside, CA 92507-7402

Phone

(951) 961-5419

NPI assigned

Jun 27, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Arts

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

{
    "created_epoch": "1624752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624752000000",
    "number": "1821668468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5287 MANHART CIR",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "925096883",
            "telephone_number": "951-961-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 SPRUCE ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925077402",
            "telephone_number": "951-961-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "CITLALY",
        "middle_name": "VERNETTA",
        "credential": "AA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-27",
        "last_updated": "2021-06-27",
        "certification_date": "2021-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kwing-Wah H. Chan, MD
• Michelle Chiu Man Chan, RD
• Nicole Chan
• Patrick Shen Chan, MD
• Chanchai Sangsurasak, DDS Inc.
• Kayla Chandler
• Aravind Chandrashekar, M.D.
• Izola Mary Chaney, PA-C
• Chang-Ho Chon, DO and Telianne Chon, DO, Inc
• Amy C. Chang, MD

• Behavior Technician in Riverside, CA
• Providers in Riverside, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2021; 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.