Kassandra Chabolla
Behavior Analyst in Bakersfield, CA. Individual provider (NPI-1).
NPI number1154933752
StatusActive
Last updated in NPPESAug 31, 2026
Details
- NPI
- 1154933752
- Entity type
- Individual (NPI-1)
- Name
- Kassandra Chabolla
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2020
- Certification date
- Aug 31, 2026
- Last updated
- Aug 31, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-23-65043 | CA | Yes |
| 247200000X | Technician, Other | – | – |
Other names
- Kassandra Vicenec (Former Name)
Practice location
1405 Commercial Way Ste 120Bakersfield, CA 93309-0626
Phone 855-223-7123 · Fax 619-374-7134
Mailing address
Po Box 740780Atlanta, GA 30374-0780
Phone 855-223-7123 · Fax 619-374-7134
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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