MRS. KATHRYN MARIE KENNEDY (NPI# 1679093397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679093397 |
| Entity Type | Individual |
| Full Name | MRS. KATHRYN MARIE KENNEDY |
| Credential | BCABA |
| Practice Address |
119 Ewell Ct Summerville SC 29486-1961 |
| Practice Telephone | (843) 494-2087 |
| Mailing Telephone | 8434942087 |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2017-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982151197 | Kathryn Kennedy | Counselor | 920 S Dubuque St, Iowa City, IA 52240-4206 | 2016-09-06 |
| 1043325194 | Kathryn Lynn Kennedy | Dentist | 331 W 63rd St, Westmont, IL 60559 | 2006-08-20 |
| 1679001895 | Kathryn Kennedy | Specialist/Technologist | 2065 Half Day Rd, Bannockburn, IL 60015 | 2017-06-01 |
| 1932562725 | Kathryn Kennedy | Obstetrics & Gynecology | 35 Monument Rd Ste 206, York, PA 17403-5074 | 2016-03-30 |
| 1780020750 | Kathryn Ann Kennedy | Registered Nurse | 1400 N Ritter Ave, Suite 520, Indianapolis, IN 46219-3052 | 2013-05-17 |
| 1659678043 | Kathryn Elisabeth Kennedy | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232 | 2011-02-21 |
| 1356668420 | Kathryn Ann Kennedy | Speech-Language Pathologist | 2 Forest Ct, Rock Island, IL 61201-7538 | 2010-04-28 |
| 1427088020 | Kathryn Kay Kennedy | Psychiatry & Neurology | 1666 E Bert Kouns Loop, Suite 220, Shreveport, LA 71105-5714 | 2006-07-03 |
| Street Address |
119 EWELL CT |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29486-1961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921454 | Cooper River Pediatric Therapy LLC | Speech-Language Pathologist | 119 Callibluff Dr, Summerville, SC 29486 | 2020-04-24 |
| 1750928164 | Tidewater Eyecare, LLC | Optometrist | 301 Front St., Summerville, SC 29486 | 2019-12-04 |
| 1366086621 | Tgd-summerville LLC | Dentist | 604-a Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1336783604 | Tdsp-summerville LLC | Dentist | 604-b Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1699256081 | Denise Michelle Richardson | Speech-Language Pathologist | 201 School House Ln, Summerville, SC 29486 | 2018-08-24 |
| 1497243588 | Charleston Ent Associates, LLC | Non-Pharmacy Dispensing Site | 2205 2nd Avenue, Summerville, SC 29486 | 2018-04-25 |
| 1043707557 | Seaside Family Medicine, LLC | Nurse Practitioner | 1341 College Park Rd # A, Summerville, SC 29486 | 2018-04-19 |
| 1023511144 | Grace Physical Therapy and Sports Rehab At Nexton | Clinic/Center | 5500 Front St, Suite 201, Summerville, SC 29486 | 2018-03-15 |
| 1295253086 | Dillon Robert Gregory | Specialist/Technologist | 313 Springdale Ct., Summerville, SC 29486 | 2017-09-01 |
| 1013456987 | Sfd Kids LLC | Dentist | 108 Parish Farms Drive, Summerville, SC 29486 | 2017-02-13 |
| Find all providers in zip 29486 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467092916 | Jessica Florez | Assistant Behavior Analyst | 751 E. Georgia St, Woodruff, SC 29388 | 2020-01-13 |
| 1629617550 | Maria Del Rosario Paniagua Alejo | Assistant Behavior Analyst | 3620 Pelham Rd, Greenville, SC 29615-5044 | 2019-12-23 |
| 1417599697 | Quenesina Yioma Davis | Assistant Behavior Analyst | 200 Elford Ct, Spartanburg, SC 29306-3250 | 2019-10-09 |
| 1083265037 | Christina Prince | Assistant Behavior Analyst | 3236 Landmark Dr Ste 103, North Charleston, SC 29418-8489 | 2019-09-21 |
| 1588138192 | Janette Klepacki | Assistant Behavior Analyst | 2801 Pelham Rd, Greenville, SC 29615-4101 | 2019-01-16 |
| 1548745839 | Rebecca Coker | Assistant Behavior Analyst | 133 Merrywood Dr, Greenwood, SC 29649-1549 | 2018-10-02 |
| 1700371382 | Ashley Paige Eppes | Assistant Behavior Analyst | 1610 Longview Rd, Mount Pleasant, SC 29464-9722 | 2018-06-26 |
| 1417449760 | Jolene Donaldson | Assistant Behavior Analyst | 4906 Darby Ln, Myrtle Beach, SC 29579-3199 | 2018-06-02 |
| 1326535378 | Emma Fitzpatrick | Assistant Behavior Analyst | 1099 Playground Rd, Charleston, SC 29407-6465 | 2018-04-16 |
| 1194223651 | Thrive Behavioral Consultants LLC | Assistant Behavior Analyst | 101 Reedy View Dr Apt 445, Greenville, SC 29601-1876 | 2018-01-30 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERVILLE |
| Zip Code | 29486 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.