Keystone Behavior Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KEYSTONE BEHAVIOR SERVICES, LLC

Practice address

310 Market St
Kingston, PA 18704-5442

Phone

(570) 362-2348

Fax

(570) 565-0024

NPI assigned

Apr 13, 2020

Organization subpart

No

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

Authorized official

Name

Jacqueline Kishbaugh, BCBA

Title

Clinical Director

Phone

(570) 852-9217

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: jkishbaugh@keystonebehaviorservices.com

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1700405461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 HIGHLARK DR STE 1",
            "city": "LARKSVILLE",
            "state": "PA",
            "postal_code": "187041656",
            "telephone_number": "570-852-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MARKET ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045442",
            "telephone_number": "570-362-2348",
            "fax_number": "570-565-0024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "334 Highlark Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Larksville",
            "state": "PA",
            "postal_code": "187041656",
            "country_code": "US",
            "telephone_number": "570-852-9217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KEYSTONE BEHAVIOR SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "KISHBAUGH",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "570-852-9217",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jkishbaugh@keystonebehaviorservices.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "334 Highlark Dr Ste 1",
            "city": "Larksville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "187041656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brent Keen, MD
• Savanna Kennedy
• Robert A Kester, DDS
• Kevin Crouse, MD PC
• Kevin Thomas DPM PC
• Keystone Neurosensory Centers,LLC
• Keystone Rehab Products LLC
• Sumaira Khan, M.D.
• Jeffery R Kile, MD
• Karen Kile, MSOT, OTR/L

• Community/Behavioral Health Agency in Kingston, PA
• Providers in Kingston, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.