Organization Active NPI

Jonathan Keefe

  • Behavior Analyst
  • Lexington, KY
National Provider Identifier
1760860928
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
KABALBLBA00214892 Issued in KY
Legal business name
JONATHAN KEEFE
Practice address
1035 Strader Dr
Suite 125
Lexington, KY 40505-4088
Phone
(859) 899-9200
NPI assigned
May 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Authorized official

Name
Michael Jonathan Keefe, M.ED., BCBA, LBA
Title
Board Certified Behavior Analyst
Phone
(859) 539-8116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X KABALBLBA00214892 KY Primary

Addresses

Primary practice location

1035 Strader Dr
Suite 125
Lexington, KY 40505-4088

Mailing address

3844 Pine Ridge Way
Lexington, KY 40514-1770
Phone (859) 539-8116

National Provider Directory

National Provider Directory

Locations

1035 Strader Dr
Ste 125
Lexington, KY 40505

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1760860928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3844 PINE RIDGE WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141770",
            "telephone_number": "859-539-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 STRADER DR",
            "address_2": "SUITE 125",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405054088",
            "telephone_number": "859-899-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN KEEFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "KEEFE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "859-539-8116",
        "authorized_official_credential": "M.ED., BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "KABALBLBA00214892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.