Organization Active NPI

Kavana Care NC LLC

  • Behavior Analyst
  • Durham, NC
National Provider Identifier
1326939323
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KAVANA CARE NC LLC
Practice address
555 S Mangum St
Durham, NC 27701-4688
Phone
(516) 371-9500
NPI assigned
Jul 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Samuel Tennenbaum
Title
Sole MBR
Phone
(516) 371-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

555 S Mangum St
Durham, NC 27701-4688

Mailing address

555 S Mangum St Ste 100
Durham, NC 27701-4689
Phone (516) 371-9500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1326939323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S MANGUM ST STE 100",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277014689",
            "telephone_number": "516-371-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S MANGUM ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277014688",
            "telephone_number": "516-371-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAVANA CARE NC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "TENNENBAUM",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "516-371-9500"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.