KEANA JANEL BAZEMORE
NPI 1386269249
Behavior Technician in Marietta, GA

Q: What is Keana Bazemore's NPI number?

The NPI number for Keana Bazemore is 1386269249. It was assigned to this individual provider in the NPPES registry on June 16, 2020.

Q: What is Keana Bazemore's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

Q: When was this NPI record last updated?

The NPPES record for Keana Bazemore was last updated on June 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 16, 2020

2651 DALLAS HWY SW, MARIETTA, GA 30064(678) 486-1904(317) 520-8200 Get Directions Write a Review

NPPES record last updated: June 16, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Keana Janel Bazemore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEANA JANEL BAZEMORE (NPI 1386269249) is an individual behavior technician in Marietta, Georgia, licensed in Georgia (RBT-19-78424) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1386269249

Entity TypeIndividualFemale

Primary Taxonomy106S00000X

Provider Legal NameKEANA JANEL BAZEMORE

Location Address2651 DALLAS HWY SWMarietta, GA 30064-2541

Mailing Address3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135 · (855) 324-0885 · Fax (317) 520-8200

Phone(678) 486-1904

Fax(317) 520-8200

Sole ProprietorNo

Enumeration DateJune 16, 2020

NPPES CertifiedJune 16, 2020

✔ NPI 1386269249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers

Taxonomy Code106S00000X

License✔ Licensed in GA · RBT-19-78424

Definition

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.

2651 DALLAS HWY SW, Marietta, GA 30064

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