Individual provider Active NPI

Judith Lee Keeney, BCBA

  • Behavior Analyst
  • Cameron, NC
National Provider Identifier
1801312020
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
185 Mittie Haddock Drive
Cameron, NC 28326
Phone
(800) 991-6070
Fax
(800) 991-6071
NPI assigned
Aug 18, 2017
Last updated
Oct 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

185 Mittie Haddock Drive
Cameron, NC 28326

Mailing address

316 Mid Valley Ctr Ste 186
Carmel, CA 93923-8516
Phone (800) 991-6070

Other names 1

  • Judith Lee Turner Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1801312020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 MID VALLEY CTR STE 186",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238516",
            "telephone_number": "800-991-6070",
            "fax_number": "800-991-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MITTIE HADDOCK DRIVE",
            "city": "CAMERON",
            "state": "NC",
            "postal_code": "28326",
            "telephone_number": "800-991-6070",
            "fax_number": "800-991-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENEY",
        "first_name": "JUDITH",
        "middle_name": "LEE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "TURNER",
            "middle_name": "LEE",
            "credential": "QASP-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cameron, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.