Individual provider Active NPI

Kea Lee

  • Behavior Analyst
  • Portsmouth, VA
National Provider Identifier
1235679788
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-44033 Issued in VA
Practice address
3225 High St
Portsmouth, VA 23707-3317
Phone
(757) 606-4474
NPI assigned
Mar 2, 2017
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-44033 VA Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

3225 High St
Portsmouth, VA 23707-3317

Mailing address

27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5312

Other practice location 1

220 Corporate Blvd
Norfolk, VA 23502
Phone (757) 606-4474

Other practice location 2

5151 Bonney Rd
Virginia Beach, VA 23462-4384
Phone (757) 222-1315

Other practice location 3

780 Lynnhaven Pkwy
Suite 400
Virginia Beach, VA 23452-7332
Phone (888) 880-9270

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amaze Virginia LLC Behavior Analyst Past Accepting new patients
Applied Behavioral Clinicians Behavior Analyst Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1235679788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27777 INKSTER RD STE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 HIGH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073317",
            "telephone_number": "757-606-4474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Corporate Blvd",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "23502",
            "country_code": "US",
            "telephone_number": "757-606-4474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5151 Bonney Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234624384",
            "country_code": "US",
            "telephone_number": "757-222-1315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "780 Lynnhaven Pkwy",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234527332",
            "country_code": "US",
            "telephone_number": "888-880-9270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "KEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-02",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "1-20-44033",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.