Individual provider Active NPI

Kenita Kayela Douglas

  • Behavior Analyst
  • Silver Spring, MD
National Provider Identifier
1487254546
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA2297 Issued in MD
Practice address
14327 Georgia Ave Apt 202
Silver Spring, MD 20906-2778
Phone
(301) 661-5244
NPI assigned
Oct 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA2297 MD Primary

Addresses

Primary practice location

14327 Georgia Ave Apt 202
Silver Spring, MD 20906-2778

Mailing address

14327 Georgia Ave Apt 202
Silver Spring, MD 20906-2778
Phone (301) 661-5244

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL teampbs.com

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

LicenseStateTypeSpecialty
LBA2297MDMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1487254546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14327 GEORGIA AVE APT 202",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209062778",
            "telephone_number": "301-661-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14327 GEORGIA AVE APT 202",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209062778",
            "telephone_number": "301-661-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "KENITA",
        "middle_name": "KAYELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "LBA2297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "teampbs.com",
            "affiliation": "N",
            "endpointDescription": "PBS",
            "address_1": "8913 Matthews Ct",
            "city": "Laurel",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207082008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.