Avigail Kemmoun

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-24727 Issued in NJ

Practice address

222 Down Hill Run
Toms River, NJ 08755-1021

Phone

(216) 970-4257

NPI assigned

Dec 19, 2016

Last updated

Jan 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Advanced Behavioral Therapy

  • Community/Behavioral Health Agency
  • Toms River, NJ
  • NPI 1952945115

  Behavior Analyst

  NPD Authorized official
• Advanced Behavioral Therapy Oh

  • Community/Behavioral Health Agency
  • Beachwood, OH
  • NPI 1457940546

  Behavior Analyst

  NPD Authorized official

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1235674789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 DOWN HILL RUN",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551021",
            "telephone_number": "216-970-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 DOWN HILL RUN",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551021",
            "telephone_number": "216-970-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMMOUN",
        "first_name": "AVIGAIL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-16-24727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Leah Kelly, EDD, APNC
• Riva Kelly, DO
• Shannon Cathleen Kelly, APN
• Tara Kelly, MSW, LSW
• Alyssa Kelman
• Trina Kennedy-Harjes
• Beth Anne Kennedy, M.P.T.
• Brian Kennedy, LPC
• Olivia Kennedy, LCSW
• Patricia Anne Kennedy, P.T.

• Behavior Analyst in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.