Active NPI
Keyana Cooke
- Behavior Technician
- Kalamazoo, MI
National Provider Identifier
1033618012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 5943 Stadium Dr
Kalamazoo, MI 49009-3016 - Phone
- (269) 280-4586
- NPI assigned
- Feb 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 00003886 | VA | |
| Behavior Technician | 106S00000X | MI | Primary | |
| Behavior Technician | 106S00000X | RBT-19-103806 | MO |
Addresses
Primary practice location
5943 Stadium Dr
Kalamazoo, MI 49009-3016
Mailing address
1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108
Phone (844) 244-1818
Other practice location 1
9374 Olive Blvd Ste 101
Saint Louis, MO 63132-3253
Phone (314) 932-2402
Other practice location 2
600 Thimble Shoals Blvd. Ste 110
Newport news, VA 23606
Phone (757) 690-9390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00003886 | VA | MD | Behavioral Analyst |
| RBT-19-103806 | MO | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1033618012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 S DOUGLAS RD STE 230",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331344108",
"telephone_number": "844-244-1818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5943 STADIUM DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490093016",
"telephone_number": "269-280-4586"
}
],
"practiceLocations": [
{
"address_1": "9374 Olive Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631323253",
"country_code": "US",
"telephone_number": "314-932-2402",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 Thimble Shoals Blvd. Ste 110",
"address_purpose": "LOCATION",
"city": "Newport news",
"state": "VA",
"postal_code": "23606",
"country_code": "US",
"telephone_number": "757-690-9390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOKE",
"first_name": "KEYANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-06",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "00003886",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MI",
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MO",
"license": "RBT-19-103806",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.