Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Chisam

Individual provider Behavior Technician · NPI 1912467002

Amanda Chisam is a Behavior Technician in Costa Mesa, California. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

826 Joann St
Costa Mesa, CA 92627-3321
Phone: (714) 310-4377
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1912467002
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 23, 2019
Last updated in NPPESJune 5, 2023
Certification dateJune 5, 2023
Mailing address826 Joann St, Costa Mesa, CA 92627-3321

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