KRISTEN KENIMOND


Address: 6865 Parkdale Pl, Indianapolis, IN 46254-5654
Phone: 3172995437

KRISTEN KENIMOND (NPI# 1225587587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225587587
Entity Type Individual
Full Name KRISTEN KENIMOND
Credential BCBA
Practice Address 6865 Parkdale Pl
Indianapolis
IN 46254-5654
Mailing Address 6636 W Ohio St
Indianapolis
IN 46214-3977
Practice Telephone 3172995437
Mailing Telephone 7654341145
Enumeration Date 2016-09-28
Last Update Date 2019-04-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 1-16-23675 IN Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
6067 Decatur Blvd, Indianapolis, IN 462419606 3178565201

Office Location

Street Address 6865 PARKDALE PL
City INDIANAPOLIS
State IN
Zip Code 46254-5654

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114912557 Chinedu Uzoma Maduakolam Specialist 6865 Parkdale Pl, Suite A, Indianapolis, IN 46254-5654 2005-09-12
1184133589 Jill Grande Behavioral Analyst 6865 Parkdale Pl, Indianapolis, IN 46254-5654 2017-09-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427673052 Sanders Empowerment Services LLC Social Worker 5026 Clarkson Drive, Indianapolis, IN 46254 2020-06-09
1316587660 Yulisa Carrera-ochoa Behavior Technician 6925 Parkdale Place, Indianapolis, IN 46254 2020-01-14
1396230140 Emeri Taivalkoski Registered Nurse Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 2018-06-25
1811499759 Sara Peterson Speech-Language Pathologist 4102 Shore Drive, Indianapolis, IN 46254 2018-03-07
1427560002 Swan Garden Home Services LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4906 Quail Ridge Ln, Indianapolis, IN 46254 2017-11-03
1477083475 Sherry Mason Counselor 5959 Staffordshire Cir, Indianapolis, IN 46254 2017-06-13
1790111680 The Health and Hospital Corporation of Marion County Pharmacy 5515 W 38th St Ste 1200, Indianapolis, IN 46254 2013-09-24
1790051563 Theracare Skilled Nursing Facility 5356 Holly Springs Ct, Indianapolis, IN 46254 2012-03-27
1750659827 Apollon Counselor 5362 Deer Creek Drive, Indianapolis, IN 46254 2011-12-05
1235413253 Irene Williams Pharmacist 6269 W. 38th St, Indianapolis, IN 46254 2011-10-10
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184223075 Hope Transitional Services LLC Behavioral Analyst 10737 Jimmy Lake Dr, Indianapolis, IN 46239 2020-10-21
1497371694 Mobile Therapy Centers of Indiana, LLC Behavioral Analyst 4170 Washington Blvd, Indianapolis, IN 46205-2617 2020-06-23
1417572272 Hannah Jossen Ferrill Behavioral Analyst 6635 East 21st Street West Building, Indianapolis, IN 46219-2254 2020-06-08
1184251001 Hope Transitional Services LLC Behavioral Analyst 7830 Palawan Way Apt A, Indianapolis, IN 46239-2212 2020-03-23
1124679832 Kelsey Jean Lindberg Behavioral Analyst 1722 W 16th St, Indianapolis, IN 46202-2031 2019-09-24
1700430956 Jack Graves Behavioral Analyst 1402 Olive St, Indianapolis, IN 46203-1928 2019-07-26
1831751205 Healthy Options LLC Behavioral Analyst 10162 Sedgehill Dr, Indianapolis, IN 46239-9762 2019-07-05
1447818091 Mindful and Modern Methods for Aba, Inc Behavioral Analyst 7507 Michigan Rd, Indianapolis, IN 46268-2321 2019-05-30
1952967630 Ashli Nichole Degenfelder Behavioral Analyst 1389 W 86th St # 170, Indianapolis, IN 46260-2101 2019-05-17
1629540869 E Behavior Solutions LLC Behavioral Analyst 4515 Chatham Pl, Indianapolis, IN 46226-3236 2018-12-28
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Competitor

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City INDIANAPOLIS
Zip Code 46254

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Dataset Information

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.

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