Chelsea Kissam

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

15BA00001100 Issued in NJ

Practice address

3000 Atrium Way Ste 430
Mount Laurel, NJ 08054-3914

Phone

(856) 412-8840

NPI assigned

Aug 21, 2025

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

State licenses

Practice roles

Locations

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.

• Brett Dinovi & Associates

  • Behavior Analyst
  • Mount Laurel, NJ
  • NPI 1023328168
  NPD

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1922986702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 FAWN DR",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080943462",
            "telephone_number": "856-340-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ATRIUM WAY STE 430",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543914",
            "telephone_number": "856-412-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSAM",
        "first_name": "CHELSEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NJ",
            "license": "15BA00001100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blake Kilvington
• Byong Jin Kim, D.M.D.
• Daniel Kim
• Myungho Greg Kim, DDS
• Laura King
• Frederick Boyd Klinger III, D.O.
• Andrew Gerard Knasiak, PHARMD
• Marcia Koetting
• Maria Z Kokolis
• Kelly Elizabeth Kollias, PSY.D.

• Assistant Behavior Analyst in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Assistant Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.