Keystone Autism Solutions LLC

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Legal business name

KEYSTONE AUTISM SOLUTIONS LLC

Practice address

933 S State Road 57 Ste B
Washington, IN 47501-4374

Phone

(765) 430-8285

NPI assigned

Nov 11, 2020

Last updated

Nov 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Raub

Title

Owner

Phone

(765) 430-8285

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1902408297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 W CAPILANO DR",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479068879",
            "telephone_number": "765-430-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 S STATE ROAD 57 STE B",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475014374",
            "telephone_number": "765-430-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE AUTISM SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "RAUB",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-430-8285",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MMITCHELL@piecebypiececenter.com",
            "affiliation": "N",
            "address_1": "933 S State Road 57 Ste B",
            "city": "Washington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "475014374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Kavanaugh, NP
• Jennifer W Kearns, PHARMD, BCACP
• Chase Keller, OD
• Tina M Kelley, NP-C
• Kevin Powers DPM
• Kristi Kingsley
• Annette Renae Klem, FNP-C
• Emily Kluesner, M.A., CCC-SLP
• Ross Abner Knepp, ATC
• Tera L Knepp, FNP

• Behavior Technician in Washington, IN
• Providers in Washington, IN by specialty
• Behavior Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.

Verify at the official NPI Registry.