Keough Applied Behavior Analysis and Management, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-13-13322 Issued in CA

Legal business name

KEOUGH APPLIED BEHAVIOR ANALYSIS AND MANAGEMENT, LLC

Practice address

601 Van Ness Ave Apt 309
San Francisco, CA 94102-3251

Phone

(949) 813-6096

NPI assigned

Apr 12, 2017

Organization subpart

No

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

Authorized official

Name

Emily Jane Keough, M.A., BCBA

Title

Owner

Phone

(949) 813-6096

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1841724242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 VAN NESS AVE APT 309",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023251",
            "telephone_number": "949-813-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 VAN NESS AVE APT 309",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023251",
            "telephone_number": "949-813-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEOUGH APPLIED BEHAVIOR ANALYSIS AND MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "KEOUGH",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-813-6096",
        "authorized_official_credential": "M.A., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-13-13322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1407196694",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barclay Kenyon
• Brian Joseph Kenyon, D.M.D.
• Carly Kenyon, MS, LCGC
• Kristina Kenyon, LMFT
• Zona Keo, ASW
• Tanya C Keough
• Kamtha Keow, M.F.T.I
• Margaret Susan Kepler, MS
• Damonyea Keppard
• Ganga-Swarnapali Monarawila Keppetipola, MD

• Behavior Analyst in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.