Autumn a Keener, M.Ed., Bcba, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

AUTUMN A KEENER, M.ED., BCBA, LLC

Practice address

106 Overbrook Rd
Richmond, VA 23222-4333

Phone

(804) 687-4723

NPI assigned

Apr 27, 2015

Last updated

Apr 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Autumn Anita Keener, M.ED., BCBA, LBA

Title

Owner

Phone

(804) 687-4723

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1356728471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 OVERBROOK RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232224333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 OVERBROOK RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232224333",
            "telephone_number": "804-687-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN A KEENER, M.ED., BCBA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "KEENER",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_middle_name": "ANITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-687-4723",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED., BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.