Karoline Kenville, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-36100

Practice address

5877 Livernois Rd Ste 104
Troy, MI 48098-3100

Phone

(313) 550-0847

Fax

(312) 929-0324

NPI assigned

Jul 17, 2019

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Straith Hospital for Special Surgery

  • Behavior Analyst
  • Southfield, MI
  • NPI 1467296277
  NPD (past)

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1912550187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5877 LIVERNOIS RD STE 104",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480983100",
            "telephone_number": "313-550-0847",
            "fax_number": "312-929-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5877 LIVERNOIS RD STE 104",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480983100",
            "telephone_number": "313-550-0847",
            "fax_number": "312-929-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENVILLE",
        "first_name": "KAROLINE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-19-36100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Frances Kennedy, FNP
• Kaitlyn Elisabeth Kennedy, PT, DPT
• Kenneth W. Shaheen, M.D.,P.C.
• David M Kent, D.O.
• Gina Katherine Kent, MA LPC
• Marissa Carr Kenyon, PA-C
• Kenneth M Kernen, MD
• Nazek Kerprich
• Kerry J Brown, DDS
• Marie M Kerwin, LMSW

• Behavior Analyst in Troy, MI
• Providers in Troy, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.