Kelly Koons, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-09-5500 Issued in NU

Practice address

1345 Northvale Dr
Virginia Beach, VA 23464-8806

Phone

(757) 615-3003

Fax

(757) 474-0987

NPI assigned

Nov 9, 2009

Last updated

Nov 9, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Emg Consulting, LLC

  • Behavior Analyst
  • Virginia Beach, VA
  • NPI 1063740488
  NPD (past)

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1700113941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 NORTHVALE DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234648806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 NORTHVALE DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234648806",
            "telephone_number": "757-615-3003",
            "fax_number": "757-474-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONS",
        "first_name": "KELLY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-09",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-09-5500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan M Konikoff, DDS
• David B Konikoff, D.D.S.
• Joshua Konikoff, D.D.S.
• Konnect Kare Residential Services
• Konnect Logistics LLC
• Robert P Korman, D.D.S
• Harold Kornylak, DO
• Stephanie Korrell
• Ekaterina Kosareva, PTA
• Yavor Kostadinov

• Behavior Analyst in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.