Provider Demographics
NPI:1699562694
Name:KANAMAN, KY (BCBA)
Entity type:Individual
Prefix:
First Name:KY
Middle Name:
Last Name:KANAMAN
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1892 E 600TH RD
Mailing Address - Street 2:
Mailing Address - City:LECOMPTON
Mailing Address - State:KS
Mailing Address - Zip Code:66050-4054
Mailing Address - Country:US
Mailing Address - Phone:972-207-2565
Mailing Address - Fax:
Practice Address - Street 1:1892 E 600TH RD
Practice Address - Street 2:
Practice Address - City:LECOMPTON
Practice Address - State:KS
Practice Address - Zip Code:66050-4054
Practice Address - Country:US
Practice Address - Phone:972-207-2565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst