Active NPI
Kenyatta Lawodo Rook, RBT
- Behavior Technician
- Dinwiddie, VA
National Provider Identifier
1457090714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-294235
- Practice address
- 12318 Boydton Plank Rd
Dinwiddie, VA 23841-2454 - Phone
- (866) 565-7222
- Fax
- (877) 734-1914
- NPI assigned
- Jun 3, 2022
- 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 Technician | 106S00000X | RBT-23-294235 | VA | Primary |
Addresses
Primary practice location
12318 Boydton Plank Rd
Dinwiddie, VA 23841-2454
Mailing address
2 Village SQ Ste 210
Baltimore, MD 21210-1624
Phone (866) 565-7222
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 |
|---|---|---|---|
| RBT-23-294235 | VA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1457090714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 VILLAGE SQ STE 210",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212101624",
"telephone_number": "866-565-7222",
"fax_number": "877-734-1914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12318 BOYDTON PLANK RD",
"city": "DINWIDDIE",
"state": "VA",
"postal_code": "238412454",
"telephone_number": "866-565-7222",
"fax_number": "877-734-1914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOK",
"first_name": "KENYATTA",
"middle_name": "LAWODO",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-03",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "VA",
"license": "RBT-23-294235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dinwiddie, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.