Active NPI
Kerrianne Courtney Webster, MS, BCBA, LBA
- Behavior Analyst
- Mobile, AL
National Provider Identifier
1790046480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2017-018
- Practice address
- 5465 Able CT
Mobile, AL 36693-3100 - Phone
- (251) 644-5938
- Fax
- (334) 283-2350
- NPI assigned
- May 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2017-018 | AL | Primary |
Addresses
Primary practice location
5465 Able CT
Mobile, AL 36693-3100
Mailing address
5451 Able CT
Mobile, AL 36693-3100
Phone (251) 410-0160
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-14-15066 | Other | BEHAVIOR ANALYST CERTIFICATION BOARD | |
| 14074198 | Other | CAQH | |
| 2017-018 | Other | AL | ALABAMA BEHAVIOR ANALYST LICENSURE BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017-018 | AL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1790046480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5451 ABLE CT",
"city": "MOBILE",
"state": "AL",
"postal_code": "366933100",
"telephone_number": "251-410-0160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5465 ABLE CT",
"city": "MOBILE",
"state": "AL",
"postal_code": "366933100",
"telephone_number": "251-644-5938",
"fax_number": "334-283-2350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBSTER",
"first_name": "KERRIANNE",
"middle_name": "COURTNEY",
"name_prefix": "Mrs.",
"credential": "MS, BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-30",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AL",
"license": "2017-018",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
"identifier": "1-14-15066",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14074198",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAMA BEHAVIOR ANALYST LICENSURE BOARD",
"identifier": "2017-018",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.