Healthcare Provider Details

I. General information

NPI: 1477629962
Provider Name (Legal Business Name): ANDREA MELINDA CHAIT PH.D., BCBA,LBA,NCSP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2006
Last Update Date: 05/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 PUTNAM PIKE
GREENVILLE RI
02828-1428
US

IV. Provider business mailing address

715 PUTNAM PIKE
GREENVILLE RI
02828-1428
US

V. Phone/Fax

Practice location:
  • Phone: 401-618-6991
  • Fax: 401-618-6995
Mailing address:
  • Phone: 401-618-6991
  • Fax: 401-618-6995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS00945
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberPS00945
License Number StateRI
# 3
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberPS00945
License Number StateRI
# 4
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLBA00001
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: