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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KHADEJHA KEIONA BANTON

Active

KHADEJHA KEIONA BANTON is a Assistant Behavior Analyst healthcare provider located in FAIRPORT, New York. NPI 1326507971 is currently active in the NPPES registry. Verify at CMS.

Assistant Behavior Analyst · FAIRPORT, NY

Registration Details

NPI Number
1326507971
Provider Type
Individual
Gender
Female
NPI Issued
Mar 13, 2019 (7.418515305063 yrs)
Last Updated
Mar 13, 2019

Practice Information

Address
6 N MAIN ST STE 110
FAIRPORT, NY, 144501581
Browse NY providers · Browse ZIP 14450
Phone
5853776590
Primary Specialty
Assistant Behavior Analyst
106E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.