Khaled Khamis, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2021-064 Issued in AL

Practice address

101 Villa Dr Ste 270
Daphne, AL 36526-4671

Phone

(251) 235-2531

Fax

(833) 997-2206

NPI assigned

Feb 25, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Autism Behavior and Cognitive Development LLC

  • Community/Behavioral Health Agency
  • Daphne, AL
  • NPI 1073286654
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1003373127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24253 ALYDAR LOOP",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365260330",
            "telephone_number": "251-235-2531",
            "fax_number": "833-997-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 VILLA DR STE 270",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264671",
            "telephone_number": "251-235-2531",
            "fax_number": "833-997-2206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1133 13th St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319012248",
            "country_code": "US",
            "telephone_number": "706-225-0101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAMIS",
        "first_name": "KHALED",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-25",
        "last_updated": "2022-06-07",
        "certification_date": "2022-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "2021-064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlena Kelley, PHARMD
• Anna Victoria Kennedy, PT
• Victoria King Kennedy, CRNP
• Meghan Hagopian Kern, OTR/L
• Keystone Recovery, LLC
• Kids Kount Therapy Services
• Kids Kount Therapy Services, LLC
• Jennifer Killgo
• Bethany King, CRNP
• Cameron Blake King, PT, DPT

• Behavior Analyst in Daphne, AL
• Providers in Daphne, AL by specialty
• Behavior Analyst in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.