Active NPI
Rebecca Kane, BCBA
- Behavior Analyst
- Southaven, MS
National Provider Identifier
1447604913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 5779 Getwell Rd
Building D Suite 3
Southaven, MS 38672-6347 - Phone
- (662) 510-6507
- Fax
- (662) 510-6508
- NPI assigned
- Apr 20, 2016
- Last updated
- Oct 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
5779 Getwell Rd
Building D Suite 3
Southaven, MS 38672-6347
Mailing address
1125 Schilling Blvd E Ste 112
Collierville, TN 38017-7078
Phone (901) 248-7440
Other practice location 1
921 Charlie Smith SR Hwy
Saint Marys, GA 31558-2834
Phone (904) 538-0714
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Irby Psychological Services, LLC | Behavior Analyst | Current | Accepting new patients |
Locations
5960 Getwell Rd
Ste 212D
Southaven, MS 38672
Phone (662) 228-0130
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633651200000",
"number": "1447604913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 SCHILLING BLVD E STE 112",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380177078",
"telephone_number": "901-248-7440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5779 GETWELL RD",
"address_2": "BUILDING D SUITE 3",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386726347",
"telephone_number": "662-510-6507",
"fax_number": "662-510-6508"
}
],
"practiceLocations": [
{
"address_1": "921 Charlie Smith SR Hwy",
"address_purpose": "LOCATION",
"city": "Saint Marys",
"state": "GA",
"postal_code": "315582834",
"country_code": "US",
"telephone_number": "904-538-0714",
"fax_number": "904-538-0714",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANE",
"first_name": "REBECCA",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-20",
"last_updated": "2021-10-08",
"certification_date": "2021-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.