KEEGAN KAVANAGH (NPI# 1922513233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922513233 |
| Entity Type | Individual |
| Full Name | KEEGAN KAVANAGH |
| Practice Address |
2460 India Hook Rd Ste And105 Rock Hill SC 29732-3530 |
| Mailing Address |
181 W Professional Park Ct Ste 1 Bowling Green KY 42104-3250 |
| Practice Telephone | 8033666250 |
| Mailing Telephone | 2707779283 |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2017-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 17-40781 | SC | Behavioral Health & Social Service Providers |
| Street Address |
2460 INDIA HOOK RD STE AND105 |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29732-3530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700095064 | Jennifer Godwin | Behavioral Analyst | 2460 India Hook Rd Ste And105, Rock Hill, SC 29732-3530 | 2007-05-22 |
| 1578106902 | Victor Mooney | Behavior Technician | 2460 India Hook Rd Ste And105, Rock Hill, SC 29732-3530 | 2019-10-17 |
| 1558856781 | Paola Barranco-reyes | Behavior Technician | 2460 India Hook Rd Ste And105, Rock Hill, SC 29732-3530 | 2018-06-29 |
| 1619468055 | Tinashia Wilkins | Behavior Technician | 2460 India Hook Rd Ste And105, Rock Hill, SC 29732-3530 | 2018-05-22 |
| 1497245419 | Iyahna Crockett | Behavior Technician | 2460 India Hook Rd Ste And105, Rock Hill, SC 29732-3530 | 2018-05-15 |
| 1821586462 | Dylan Allsopp | Behavior Technician | 2460 India Hook Rd Ste And105, Rock Hill, SC 29732-3530 | 2018-04-30 |
| 1851889729 | Kathleen Harrison | Behavior Technician | 2460 India Hook Rd Ste And105, Rock Hill, SC 29732-3530 | 2018-04-26 |
| 1609364793 | Perdina Brisbon | Behavior Technician | 2460 India Hook Rd Ste And105, Rock Hill, SC 29732-3530 | 2018-04-25 |
| 1518463876 | Alina Vallario | Behavior Technician | 2460 India Hook Rd Ste And105, Rock Hill, SC 29732-3530 | 2018-04-04 |
| 1770088437 | Freeland Hall | Behavior Technician | 2460 India Hook Rd Ste And105, Rock Hill, SC 29732-3530 | 2018-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
| 1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
| 1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
| 1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
| 1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
| 1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
| 1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
| 1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
| Find all providers in zip 29732 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| 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 |
|---|---|---|---|---|
| 1972101400 | Caroline Lee Parrish | Behavior Technician | 420 Herlong Ave S Ste 104, Rock Hill, SC 29732-1091 | 2020-10-16 |
| 1487114872 | Mary Campbell Kellett | Behavior Technician | 2460 India Hook Rd Ste 104&105, Rock Hill, SC 29732-3530 | 2019-03-21 |
| 1821552894 | Zachary Morrell | Behavior Technician | 2460 India Hook Rd Ste 104-105, Rock Hill, SC 29732-3530 | 2019-01-24 |
| 1801496567 | Natasha M Vance | Behavior Technician | 2460 India Hook Rd Ste 104&105, Rock Hill, SC 29732-3530 | 2020-10-30 |
| 1972102176 | Lauren A Mahon | Behavior Technician | 2460 India Hook Rd Ste 104&105, Rock Hill, SC 29732-3530 | 2020-10-20 |
| 1194340455 | Carly C Hansen | Behavior Technician | 2460 India Hook Rd Ste 104&105, Rock Hill, SC 29732-3530 | 2020-06-12 |
| 1477176493 | Bridgett M Laberge | Behavior Technician | 2460 India Hook Rd Ste 104&105, Rock Hill, SC 29732-3530 | 2020-05-26 |
| 1972139442 | Yvette Brown | Behavior Technician | 2460 India Hook Rd Ste 104&105, Rock Hill, SC 29732-3530 | 2020-03-17 |
| 1083249452 | Susan Abril | Behavior Technician | 2460 India Hook Rd Ste 104&105, Rock Hill, SC 29732-3530 | 2020-03-06 |
| 1104450451 | Adam Snider | Behavior Technician | 197 Piedmont Blvd Ste 205, Rock Hill, SC 29732-1846 | 2020-02-26 |
| Find all providers in ROCK HILL | ||||
Please comment or provide details below to improve the information on KEEGAN KAVANAGH.
| 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.