Active NPI
Emma Kennedy
- Behavior Technician
- Saint Augustine, FL
National Provider Identifier
1346030384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 175 Cumberland Park Dr Ste 100
Saint Augustine, FL 32095-8955 - Phone
- (904) 201-9129
- Fax
- (615) 694-3915
- NPI assigned
- May 12, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
175 Cumberland Park Dr Ste 100
Saint Augustine, FL 32095-8955
Mailing address
23 Sol CT
Saint Augustine, FL 32095-8493
Other practice location 1
6817 Southpoint Pkwy Ste 2002
Jacksonville, FL 32216-6299
Phone (912) 785-9027
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Connection, LLC | Past | Accepting new patients | |
| Exceptional Kidz Rehabilitation | Behavior Technician | 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 and National Provider Directory roles.
-
- Behavior Analyst
- Saint Augustine, FL
- NPI 1174029201
-
- Speech-Language Pathologist
- Pemberton, NJ
- NPI 1467738492
Behavior Technician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1346030384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 SOL CT",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320958493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 CUMBERLAND PARK DR STE 100",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320958955",
"telephone_number": "904-201-9129",
"fax_number": "615-694-3915"
}
],
"practiceLocations": [
{
"address_1": "6817 Southpoint Pkwy Ste 2002",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322166299",
"country_code": "US",
"telephone_number": "912-785-9027",
"fax_number": "877-515-6711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENNEDY",
"first_name": "EMMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-12",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.