Provider Demographics
NPI:1801547641
Name:CHAISSON, YUSHANI JANAE
Entity type:Individual
Prefix:
First Name:YUSHANI
Middle Name:JANAE
Last Name:CHAISSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 ORCHID DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-1328
Mailing Address - Country:US
Mailing Address - Phone:337-789-2355
Mailing Address - Fax:
Practice Address - Street 1:522 ORCHID DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-1328
Practice Address - Country:US
Practice Address - Phone:337-789-2355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst