Amanda Grace Kemp, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1497 Issued in CT

Practice address

673 S Main St
Cheshire, CT 06410-3149

Phone

(203) 271-1430

NPI assigned

Aug 11, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Connecticut Behavioral Health, LLC

  • Professional Counselor
  • Cheshire, CT
  • NPI 1235171828

  Behavior Analyst

  NPD

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1902534407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 OAK RIDGE DR APT 14",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065131172",
            "telephone_number": "203-816-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103149",
            "telephone_number": "203-271-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "AMANDA",
        "middle_name": "GRACE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Kellner
• Kelly Chiropractic and Rehabilitation Center LLC
• Eric Kelly, DC
• Hannah Rose Kelly, OT
• Selin Kelly, LCSW
• Patricia Kenning, OTR/L
• Jennifer Lynne Kenworthy, LMSW
• Stacie Leigh Kervin, LPC, NCC
• Shahmeen Khan
• Judith Frances Khericha, RPT

• Behavior Analyst in Cheshire, CT
• Providers in Cheshire, CT by specialty
• Behavior Analyst in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.