Southampton Behavior Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SOUTHAMPTON BEHAVIOR THERAPY LLC

Practice address

21635 Cobb Pond Dr
Courtland, VA 23837-2196

Phone

(863) 837-8007

NPI assigned

Dec 17, 2024

Organization subpart

No

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

Authorized official

Name

Keisha Kline, MA, BCBA, LBANPI 1437457652

Title

Owner

Phone

(863) 837-8007

Specialties & licenses 1

Addresses

Practitioners 1

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

• Keisha Thomas Kline, MA, BCBA, LBA

  • Behavior Analyst
  • Courtland, VA
  • NPI 1437457652
  NPD Authorized official

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1780491332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21635 COBB POND DR",
            "city": "COURTLAND",
            "state": "VA",
            "postal_code": "238372196",
            "telephone_number": "863-837-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21635 COBB POND DR",
            "city": "COURTLAND",
            "state": "VA",
            "postal_code": "238372196",
            "telephone_number": "863-837-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHAMPTON BEHAVIOR THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-837-8007",
        "authorized_official_credential": "MA, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Facilities of America Xliii (Courtland Health & Rehabilitation Center)
• Medstar Ambulance Service, Inc.
• Mrs. Mary's Loving Arms Home Health Care LLC.
• Phases Family Services
• Sentara Careplex Hospital
• Southampton County Board of Supervisors
• Southampton County School Board
• Story Chiropractic, PLLC
• Stevie Jo Nicole Tibbetts, MOT, OTR/L
• Ebony Turner

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.