Active NPI
Autumn A Keener, M.ED., BCBA, LBA
- Behavior Analyst
- Henrico, VA
National Provider Identifier
1154729788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0133000517
- Practice address
- 9351 W Broad St
Henrico, VA 23294-5437 - Phone
- (804) 596-3275
- NPI assigned
- Dec 13, 2014
- Last updated
- Sep 7, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0133000517 | VA | Primary |
Addresses
Primary practice location
9351 W Broad St
Henrico, VA 23294-5437
Mailing address
9351 W Broad St
Henrico, VA 23294-5437
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0133000517 | VA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504742400000",
"number": "1154729788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9351 W BROAD ST",
"city": "HENRICO",
"state": "VA",
"postal_code": "232945437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9351 W BROAD ST",
"city": "HENRICO",
"state": "VA",
"postal_code": "232945437",
"telephone_number": "804-596-3275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEENER",
"first_name": "AUTUMN",
"middle_name": "A",
"credential": "M.ED., BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-13",
"last_updated": "2017-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0133000517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henrico, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.