Keisha Thomas Kline, MA, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0134000156 Issued in VA

Practice address

21635 Cobb Pond Dr
Courtland, VA 23837-2196

Phone

(863) 837-8007

NPI assigned

Mar 11, 2011

Last updated

Oct 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southampton Behavior Therapy LLC

  • Behavior Analyst
  • Courtland, VA
  • NPI 1780491332
  NPD Authorized official

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1437457652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21635 COBB POND DR",
            "city": "COURTLAND",
            "state": "VA",
            "postal_code": "238372196",
            "telephone_number": "863-837-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21635 COBB POND DR",
            "city": "COURTLAND",
            "state": "VA",
            "postal_code": "238372196",
            "telephone_number": "863-837-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINE",
        "first_name": "KEISHA",
        "middle_name": "THOMAS",
        "name_prefix": "Ms.",
        "credential": "MA, BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-11",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0134000156",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Alexander Diggins, ATC
• Savannah Francis
• Monique Tamara Goodman, CCC-SLP
• Andrea Hall-Leonard, MA
• Takeda Hinton
• Audrey H Lee
• Legacy Professional Nursing Care LLC
• Loc Medical Tranport LLC
• Medical Facilities of America Xliii (Courtland Health & Rehabilitation Center)
• Medstar Ambulance Service, Inc.

• Behavior Analyst in Courtland, VA
• Providers in Courtland, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.