Chrisnicolas Paul Keith

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

23-4210-619985 Issued in TX

Practice address

2525 Ladd St
San Antonio, TX 78236-5308

Phone

(210) 447-7041

Fax

(866) 403-7980

NPI assigned

Oct 24, 2023

Last updated

Oct 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavior Keys

  • Behavior Analyst
  • Lackland AFB, TX
  • NPI 1750724118
  NPD (past)

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1205608270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 W BANDERA RD # 325",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062805",
            "telephone_number": "210-447-7041",
            "fax_number": "866-403-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 LADD ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782365308",
            "telephone_number": "210-447-7041",
            "fax_number": "866-403-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "CHRISNICOLAS",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "23-4210-619985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keisha L. Loftin, M.D., P.a.
• Keith Burchill PLLC (Encompass Health)
• Keith Sanford, MD PA
• Abby Keith, IONM
• Aimee L Keith, PSYD
• Katie Keith, LMFT
• Yahaira Carolina Keith, BCBA
• Naveen Kella, M.D.
• Judianne Kellaway, MD
• Jennifer Keller Kaser, LVN

• Behavior Technician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.