Keionna Maelyn Abernathy

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

F7415629 Issued in CA

Practice address

6601 McDivitt Dr
Bakersfield, CA 93313-2049

Phone

(661) 520-9292

NPI assigned

Oct 30, 2019

Sex

Female

Sole proprietor

No

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 30, 2019.

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1790329902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677807",
            "telephone_number": "818-345-2345",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 MCDIVITT DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933132049",
            "telephone_number": "661-520-9292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6601 McDivitt Dr",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933132049",
            "country_code": "US",
            "telephone_number": "661-520-9292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABERNATHY",
        "first_name": "KEIONNA",
        "middle_name": "MAELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "F7415629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Trinidad Abdon, RN
• Wafik A Abdou, MD
• Ahmed Ben Abdulla, CMPSS
• Medina Imani Abdullah, LVN
• Abella Companion Care LLC
• Anju Abhilash
• Callista Rose Abinante
• Cipriano Leonardo Abitia
• Idalia Cortez Ablin, FNP
• Christy Abney

• All providers in Bakersfield, CA
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.