IndividualActive
Keon Mobley
NPI 1790543908 · Behavior Technician · South Bend, IN
Keon Mobley is a Behavior Technician provider in South Bend, IN (NPI 1790543908).
Provider details
- NPI number
- 1790543908
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(50/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
2505 E Jefferson Blvd
South Bend, IN 46615-2635
Phone: (574) 289-4831
Street-level locationGet directions
Mailing address
2505 E Jefferson Blvd
South Bend, IN 46615-2635
Registry dates
- Enumerated
- 2024-03-12
- Last updated
- 2024-03-12
- Certified
- 2024-03-12
Frequently asked questions
- What is Keon Mobley's NPI number?
- Keon Mobley's National Provider Identifier (NPI) is 1790543908, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keon Mobley's specialty?
- Keon Mobley is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Keon Mobley located?
- Keon Mobley's practice location on file with NPPES is 2505 E Jefferson Blvd, South Bend, IN 46615-2635.
- What is Keon Mobley's phone number?
- The practice phone number listed in the NPPES registry for Keon Mobley is (574) 289-4831.
- Is Keon Mobley's NPI active?
- Yes — Keon Mobley's NPI (1790543908) is active in the NPPES registry as of the last update on 2024-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.