Keana Groves
Individual provider Active NPI Behavior Analyst · Carthage, MS
NPI 1083365712 · NPPES record last updated Feb 7, 2022
Key facts
- NPI
- 1083365712
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 422 Wiggins Loop Rd Ste B
Carthage, MS 39051-9795 - Phone
- (601) 697-8392
- NPI assigned
- Jan 14, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Not Bound Consulting, LLC | Behavior Analyst | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
422 Wiggins Loop Rd Ste B
Carthage, MS 39051-9795
Mailing address
422 Wiggins Loop Rd Ste B
Carthage, MS 39051-9795
Phone (601) 697-8392
Other providers in Carthage, MS
- Sharon Gaddis
- Gloria Divine Angels
- Graceful Living Inc.
- Thomas Gipson Gross II
- Deshaun Groves
- Hall Family Dentistry
- Shirley Arnon Handford
- Matthew Harrison
- Brittany Hart
- Kaitlyn Harthcock
All providers in Carthage, MS · Behavior Analyst in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.