Active NPI
Keaunna Scott
- Behavior Technician
- Ocala, FL
National Provider Identifier
1376268276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 22-239670
- Practice address
- 3001 SW 24TH Ave Apt 1308
Ocala, FL 34471-7832 - Phone
- (352) 460-6945
- NPI assigned
- Oct 4, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | |||
| Behavior Technician | 106S00000X | 22-239670 | FL | Primary |
Addresses
Primary practice location
3001 SW 24TH Ave Apt 1308
Ocala, FL 34471-7832
Mailing address
2510 Washington Ave Apt 6
Eustis, FL 32726-5213
Phone (352) 460-6945
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22-239670 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699315200000",
"number": "1376268276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 WASHINGTON AVE APT 6",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327265213",
"telephone_number": "352-460-6945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 SW 24TH AVE APT 1308",
"city": "OCALA",
"state": "FL",
"postal_code": "344717832",
"telephone_number": "352-460-6945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "KEAUNNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-04",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "22-239670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.