Individual provider Active NPI

Mary Grace Key, BS

  • Behavior Analyst
  • Covington, LA
National Provider Identifier
1346733870
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-67103 Issued in LA
Practice address
3999 Highway 190 East Service Rd
Covington, LA 70433-4914
Phone
(985) 871-0689
Fax
(985) 871-0690
NPI assigned
Jun 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X LA
Behavior Analyst 103K00000X 1-23-67103 LA Primary

Addresses

Primary practice location

3999 Highway 190 East Service Rd
Covington, LA 70433-4914

Mailing address

27130 Highway 22
Springfield, LA 70462-3108
Phone (601) 507-9077

Other practice location 1

14088 W Club Deluxe Rd
Hammond, LA 70403-1000
Phone (985) 542-0077

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
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Spears, Inc. PastSince Oct 22, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1528502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1346733870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27130 HIGHWAY 22",
            "city": "SPRINGFIELD",
            "state": "LA",
            "postal_code": "704623108",
            "telephone_number": "601-507-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3999 HIGHWAY 190 EAST SERVICE RD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704334914",
            "telephone_number": "985-871-0689",
            "fax_number": "985-871-0690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14088 W Club Deluxe Rd",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031000",
            "country_code": "US",
            "telephone_number": "985-542-0077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEY",
        "first_name": "MARY",
        "middle_name": "GRACE",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-09",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "1-23-67103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

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

Verify at the official NPI Registry.