Provider Demographics
NPI:1477629962
Name:CHAIT, ANDREA MELINDA (PHD, BCBA,LBA,NCSP)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:MELINDA
Last Name:CHAIT
Suffix:
Gender:F
Credentials:PHD, BCBA,LBA,NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 PUTNAM PIKE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:RI
Mailing Address - Zip Code:02828-1428
Mailing Address - Country:US
Mailing Address - Phone:401-618-6991
Mailing Address - Fax:401-618-6995
Practice Address - Street 1:715 PUTNAM PIKE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:RI
Practice Address - Zip Code:02828-1428
Practice Address - Country:US
Practice Address - Phone:401-618-6991
Practice Address - Fax:401-618-6995
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS00945103T00000X, 103TB0200X, 103TS0200X
RILBA00001103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool