Child Led Therapy LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

CHILD LED THERAPY LLC

Practice address

8108 Thistle CT
San Diego, CA 92120-1620

Phone

(858) 752-4675

NPI assigned

Oct 6, 2021

Organization subpart

No

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

Authorized official

Name

Melissa Sublett

Title

President/Bcba

Phone

(858) 752-4675

Specialties & licenses 2

Addresses

Other names 1

• Child Led Therapy Doing business as

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1902568074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8108 THISTLE CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921201620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8108 THISTLE CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921201620",
            "telephone_number": "858-752-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD LED THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "SUBLETT",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT/BCBA",
        "authorized_official_telephone_number": "858-752-4675"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Child Led Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Bwinika Chikuru
• Brenda Chilazi
• Kara Chilcote, LMFT
• James Matthew Chilcott Jr., RN
• Child Enrichment Center
• Child Therapy San Diego
• Diana Jane Childers, M.D.
• Joseph Michael Childers
• Richard C Childers, M.D.
• Sara Rose Childers

• Early Intervention Provider Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Early Intervention Provider Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.