Key Autism Services Al, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KEY AUTISM SERVICES AL, LLC

Practice address

2100 Southbridge Pkwy Ste 650
Birmingham, AL 35209-1317

Phone

(857) 829-4040

NPI assigned

Jan 4, 2023

Organization subpart

No

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

Authorized official

Name

Mark Harper

Title

Ceo

Phone

(857) 829-4040

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1912610031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 APPLE ST STE 221",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077242670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SOUTHBRIDGE PKWY STE 650",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352091317",
            "telephone_number": "857-829-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY AUTISM SERVICES AL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "857-829-4040"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monte Ketchum, D.O
• Robert M Ketchum, R.PH., M.S.
• Kevin G Hays
• Kevin J Alexander DMD PC
• Clifton Kew
• Angelyn Esdale Key, RN, RNC-NIC
• Bruce M Key, M.D.
• Christopher Dywayne Key, M.D.
• Erin Key
• Kathryn Key

• Community/Behavioral Health Agency in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Community/Behavioral Health Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.