Keaghan Cronin

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

9901 NE 7TH Ave
Suite C-116
Vancouver, WA 98685-4523

Phone

(360) 571-2432

Fax

(360) 836-8131

NPI assigned

Sep 20, 2013

Sex

Female

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

Interoperability endpoints

• Direct secure messaging: behavenkids.keaghancronin@137640.advancedmd-direct.com

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.

• Blue ABA Indiana LLC

  • Community/Behavioral Health Agency
  • Indianapolis, IN
  • NPI 1346972882

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1437585585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST",
            "address_2": "SUITE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913674976",
            "telephone_number": "818-345-2345",
            "fax_number": "818-449-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 NE 7TH AVE",
            "address_2": "SUITE C-116",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986854523",
            "telephone_number": "360-571-2432",
            "fax_number": "360-836-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONIN",
        "first_name": "KEAGHAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-20",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Crocker
• Carla Jeanne Crockford, ARNP/PMHNP
• Robert S Croft, D.D.S M.S. P.C.
• Crofts Inc
• Kathryn Crombie
• Matthew W Cronin, MA, LMHC, PCA
• Talia Sue Cronk, PSYD
• Katherine M Cronkhite, M.D.
• Carmella Crooks
• Megan Crorey, P.A.

• All providers in Vancouver, WA
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.