Khadejha Ketter

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1383458201 Issued in NY

Practice address

950 Underhill Ave Apt 19C
Bronx, NY 10473-2731

Phone

(646) 281-6914

NPI assigned

Feb 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1580601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580601600000",
    "number": "1699306233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 UNDERHILL AVE APT 19C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104732731",
            "telephone_number": "646-281-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 UNDERHILL AVE APT 19C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104732731",
            "telephone_number": "646-281-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTER",
        "first_name": "KHADEJHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-02",
        "last_updated": "2020-02-02",
        "certification_date": "2020-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": "NY",
            "license": "1383458201",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "1383458201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Lee Kessner, PH.D.
• Emily Kestenbaum
• Meir Kestenbaum
• Delally Ketemepi, RN
• David Scott Ketner Jr., M.D.
• Nicole Chantell Ketter, LMSW
• Sarah Kevelson, M.D.
• Kevin L Cintron Rd LLC
• Kevin Obi NP in Psychiatry PLLC
• Leyam Theresa Kewson, M.D.

• Behavior Analyst in Bronx, NY
• Providers in Bronx, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2020; 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.