Active NPI
Kerry Ann Kavanaugh, MS, BCBA, LBA
- Behavior Analyst
- Homestead, FL
National Provider Identifier
1861828311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-76913
- Practice address
- 2308 SE 23Rd Ave
Homestead, FL 33035-1911 - Phone
- (999) 999-9999
- NPI assigned
- Sep 16, 2013
- Last updated
- Sep 28, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-24-76913 | GA | Primary |
| Behavior Technician | 106S00000X | 16-16355 | FL |
Addresses
Primary practice location
2308 SE 23Rd Ave
Homestead, FL 33035-1911
Mailing address
2308 SE 23Rd Ave
Homestead, FL 33035-1911
Other names 1
- Mrs. Keri A Kavanaugh
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
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16-16355 | FL | MD | Behavior Technician |
| RBT-16-16355 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rand Speech Pathology LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790553600000",
"number": "1861828311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2308 SE 23RD AVE",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330351911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2308 SE 23RD AVE",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330351911",
"telephone_number": "999-999-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAVANAUGH",
"first_name": "KERRY",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "MS, BCBA, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-16",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "1-24-76913",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "16-16355",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KERI",
"last_name": "KAVANAUGH",
"middle_name": "A",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.