Kendall Elizabeth Keane, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-33374 Issued in TX

Practice address

5085 W Park Blvd Ste 400
Plano, TX 75093-2592

Phone

(469) 277-6050

NPI assigned

May 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Action Behavior Centers Therapy LLC

  • Behavior Analyst
  • Austin, TX
  • NPI 1699475509
  NPD (past)

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1972094126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 S MOPAC EXPRESSWAY",
            "address_2": "SUITE C-300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5085 W PARK BLVD STE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932592",
            "telephone_number": "469-277-6050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10503 Metric Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752435514",
            "country_code": "US",
            "telephone_number": "972-644-2076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEANE",
        "first_name": "KENDALL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-16-18713",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-18-33374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mansoor Ahmed Kazi, FNP-C
• Syed Saad Kazmi
• KB Dental Plano P.a.
• KD Beyer and Associates
• KDDS Dental PA
• Michelle Kearby, MS, LPC
• Janna Kearns, PT
• Diana Margaret Kedora, FNP
• Kara Nicole Keegan, PT, DPT
• Richard R Keene, MD

• Behavior Analyst in Plano, TX
• Providers in Plano, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.