Individual provider Active NPI

Jennifer Kanitz

  • Behavior Technician
  • Warrensburg, MO
National Provider Identifier
1275268708
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-22-214832 Issued in MO
Practice address
209 E Market St
Warrensburg, MO 64093-1842
Phone
(660) 747-7507
NPI assigned
Jul 19, 2022
Last updated
Jul 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-22-214832 MO Primary

Addresses

Primary practice location

209 E Market St
Warrensburg, MO 64093-1842

Mailing address

209 E Market St
Warrensburg, MO 64093-1842
Phone (660) 747-7507

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

State licenses

LicenseStateTypeSpecialty
RBT-22-214832MOMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Abilities LLC CurrentSince Jul 24, 2022 Accepting new patients
Abilities LLC PastSince Jul 24, 2022 Accepting new patients

Locations

209 E Market St
Warrensburg, MO 64093
Phone (660) 747-7507

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": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1275268708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E MARKET ST",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931842",
            "telephone_number": "660-747-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E MARKET ST",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931842",
            "telephone_number": "660-747-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANITZ",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MO",
            "license": "RBT-22-214832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensburg, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.