Active NPI
Jenna Keene
- Behavior Analyst
- Madison, TN
National Provider Identifier
1629723077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 2520 Val Marie Dr
Madison, TN 37115-2391 - Phone
- (615) 669-6397
- NPI assigned
- Feb 15, 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 Analyst | 103K00000X | Primary |
Addresses
Primary practice location
2520 Val Marie Dr
Madison, TN 37115-2391
Mailing address
2520 Val Marie Dr
Madison, TN 37115-2391
Phone (615) 669-6397
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | office@practicalbehavior.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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1629723077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 VAL MARIE DR",
"city": "MADISON",
"state": "TN",
"postal_code": "371152391",
"telephone_number": "615-669-6397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 VAL MARIE DR",
"city": "MADISON",
"state": "TN",
"postal_code": "371152391",
"telephone_number": "615-669-6397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEENE",
"first_name": "JENNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-15",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "office@practicalbehavior.com",
"affiliation": "N",
"endpointDescription": "Email",
"address_1": "2520 Val Marie Dr",
"city": "Madison",
"state": "TN",
"country_code": "US",
"postal_code": "371152391",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Madison, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.