Keenan A Adams, RBT
Behavior Technician in San Diego, California
1619598414- Practice location
- 5075 Shoreham Pl Ste 115, San Diego, CA 92122-5927
- Phone
- 858-272-2662
- Fax
- 858-272-2661
- Last updated
- May 3, 2020
Keenan Alexander Adams is a Behavior Technician based in San Diego, CA. Keenan Alexander Adams practices in San Diego, CA and has the professional credentials of RBT. The NPI Number for Keenan Alexander Adams is 1619598414 and holds a License No. 1998335 (CA). The current practice location address for Keenan Alexander Adams is 5075 Shoreham Pl Ste 115, San Diego, CA 92122-5927 and can be reached out via phone at 858-272-2662 and via fax at 858-272-2661.
Provider Profile Details
- NPI Number
- 1619598414
- Provider Name
- Keenan Alexander Adams
- Credential
- RBT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 5075 Shoreham Pl Ste 115, San Diego, CA 92122-5927
- Phone Number
- 858-272-2662
- Fax Number
- 858-272-2661
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 3, 2020
- Last Update Date
- May 3, 2020
- Certification Date
- May 3, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5075 Shoreham Pl Ste 115
San Diego, CA 92122-5927 - City
- San Diego
- State
- California
- Zip
- 92122-5927
- Phone Number
- 858-272-2662
- Fax Number
- 858-272-2661
Provider Business Mailing Address Details
- Address
- 1303 Caminito Septimo
Cardiff, CA 92007-1012 - City
- Cardiff
- State
- CA
- Zip
- 92007-1012
- Phone Number
- 760-519-6742
License Information
- License Number
- 1998335
- License State
- CA
- Taxonomy
- Behavior Technician · 106S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Behavior Technicians near San Diego, CA
View all Behavior Technicians in San Diego →Frequently Asked Questions
What is the NPI number of Keenan A Adams, RBT?
The NPI number of Keenan A Adams, RBT is 1619598414. It was assigned on May 3, 2020 and is currently active in the NPPES registry.
What is the specialty of Keenan A Adams, RBT?
Keenan A Adams, RBT is registered under the primary taxonomy Behavior Technician (code 106S00000X), licensed in CA under license number 1998335.
Where does Keenan A Adams, RBT practice?
The practice location is 5075 Shoreham Pl Ste 115, San Diego, CA 92122-5927. The office can be reached at 858-272-2662 (phone) or 858-272-2661 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619598414 directly on the NPPES registry website.