Active NPI
Kelleen Eve Covington, MS, BCBA
- Behavior Analyst
- Hixson, TN
National Provider Identifier
1316404692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1961 Northpoint Blvd Ste 140
Hixson, TN 37343-4999 - Phone
- (423) 498-9051
- NPI assigned
- Feb 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BACB507414 | GA | |
| Assistant Behavior Analyst | 106E00000X | BACB507414 | GA | |
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | TN | Primary |
Addresses
Primary practice location
1961 Northpoint Blvd Ste 140
Hixson, TN 37343-4999
Mailing address
1961 Northpoint Blvd Ste 140
Hixson, TN 37343-4999
Phone (423) 498-9051
Other practice location 1
557 Pinewood Cir
Fort Oglethorpe, GA 30742-3044
Phone (559) 392-3711
Other practice location 2
20 N DeWitt Ave
Clovis, CA 93612-0311
Phone (559) 575-8172
Other practice location 3
37 Fernwood Dr Apt 1A
Fort Oglethorpe, GA 30742-3233
Phone (559) 392-3711
Other practice location 4
3 Central Plz
Rome, GA 30161-3233
Phone (559) 392-3711
Other practice location 5
260 Peachtree St NW Ste 2200
Atlanta, GA 30303-1292
Phone (559) 392-3711
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB507414 | GA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683849600000",
"number": "1316404692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1961 NORTHPOINT BLVD STE 140",
"city": "HIXSON",
"state": "TN",
"postal_code": "373434999",
"telephone_number": "423-498-9051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1961 NORTHPOINT BLVD STE 140",
"city": "HIXSON",
"state": "TN",
"postal_code": "373434999",
"telephone_number": "423-498-9051"
}
],
"practiceLocations": [
{
"address_1": "557 Pinewood Cir",
"address_purpose": "LOCATION",
"city": "Fort Oglethorpe",
"state": "GA",
"postal_code": "307423044",
"country_code": "US",
"telephone_number": "559-392-3711",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 N DeWitt Ave",
"address_purpose": "LOCATION",
"city": "Clovis",
"state": "CA",
"postal_code": "936120311",
"country_code": "US",
"telephone_number": "559-575-8172",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "37 Fernwood Dr Apt 1A",
"address_purpose": "LOCATION",
"city": "Fort Oglethorpe",
"state": "GA",
"postal_code": "307423233",
"country_code": "US",
"telephone_number": "559-392-3711",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3 Central Plz",
"address_purpose": "LOCATION",
"city": "Rome",
"state": "GA",
"postal_code": "301613233",
"country_code": "US",
"telephone_number": "559-392-3711",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "260 Peachtree St NW Ste 2200",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303031292",
"country_code": "US",
"telephone_number": "559-392-3711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COVINGTON",
"first_name": "KELLEEN",
"middle_name": "EVE",
"credential": "MS, BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-22",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "BACB507414",
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "GA",
"license": "BACB507414",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hixson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.