IndividualActive
Kennedy Coleman
NPI 1790417004 · Behavior Technician · Temple Terrace, FL
Kennedy Coleman is a Behavior Technician provider in Temple Terrace, FL (NPI 1790417004).
Provider details
- NPI number
- 1790417004
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12911 N Telecom Pkwy
Temple Terrace, FL 33637-0907
Phone: (813) 553-7880
Street-level locationGet directions
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Registry dates
- Enumerated
- 2022-06-27
- Last updated
- 2022-06-27
- Certified
- 2022-06-27
Frequently asked questions
- What is Kennedy Coleman's NPI number?
- Kennedy Coleman's National Provider Identifier (NPI) is 1790417004, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kennedy Coleman's specialty?
- Kennedy Coleman is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Kennedy Coleman located?
- Kennedy Coleman's practice location on file with NPPES is 12911 N Telecom Pkwy, Temple Terrace, FL 33637-0907.
- What is Kennedy Coleman's phone number?
- The practice phone number listed in the NPPES registry for Kennedy Coleman is (813) 553-7880.
- Is Kennedy Coleman's NPI active?
- Yes — Kennedy Coleman's NPI (1790417004) is active in the NPPES registry as of the last update on 2022-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.