National Provider Identifier
Khadejha Keiona Banton
Khadejha Keiona Banton is listed in the NPPES registry with a primary specialty of Assistant Behavior Analyst in Fairport, NY and a listed phone number of (585) 377-6590.
Profile Overview
- NPI
- 1326507971
- Provider Type
- Individual
- Primary Specialty
- Assistant Behavior Analyst
- Enumeration Date
- March 13, 2019
- Last Updated
- March 13, 2019
Practice Location
- 6 N Main St Ste 110
- Fairport, NY 14450-1581
Phone: (585) 377-6590
Specialties
- Assistant Behavior Analyst (106E00000X)
Full Record
- NPI
- 1326507971
- Entity Type
- Individual
- Last Name
- Banton
- First Name
- Khadejha
- Middle Name
- Keiona
- Mailing Street Address
- 6 N Main St Ste 110
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-1581
- Mailing Country
- US
- Mailing Phone
- (585) 377-6590
- Practice Street Address
- 6 N Main St Ste 110
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1581
- Practice Country
- US
- Practice Phone
- (585) 377-6590
- Enumeration Date
- March 13, 2019
- Last Updated
- March 13, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Assistant Behavior Analyst (106E00000X)