Christopher Degraffenried Keenan Jr., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-21983

Practice address

1505 Blanding St
Columbia, SC 29201-2906

Phone

(803) 929-0011

Fax

(803) 569-1054

NPI assigned

Mar 31, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• The Unumb Center for Neurodevelopment

  • Behavior Analyst
  • Columbia, SC
  • NPI 1184984742
  NPD (past)

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493510400000",
    "number": "1407219165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7514",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292027514",
            "telephone_number": "803-929-0011",
            "fax_number": "803-569-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 BLANDING ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012906",
            "telephone_number": "803-929-0011",
            "fax_number": "803-569-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "DEGRAFFENRIED",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2017-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-16-21983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hazel Lucile Keels, RN
• Holly Gordon Keels, RRT
• Jessica E Keels
• Patrice Nicole Ladson Keels, DNP, APRN, FNP-BC
• Marilyn C Keen, PA-C
• Dustin Thomas Keenan, PA-S
• Kathy Lynn Keenan, LMSW
• Christopher Duane Keesee, PTA
• Allyson Keesling
• Madison Kefferstan, ATC

• Behavior Analyst in Columbia, SC
• Providers in Columbia, SC by specialty
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2017; 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.