Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keana Janel Bazemore

Individual provider Behavior Technician · NPI 1386269249

Keana Janel Bazemore is a Behavior Technician in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2020.

Licensed in
GA
In the registry since
2020

Practice location Address checks out

2651 Dallas Hwy SW
Marietta, GA 30064-2541
Phone: (678) 486-1904
Fax: (317) 520-8200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-19-78424 (GA)

Record details

NPI number1386269249
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 16, 2020
Last updated in NPPESJune 16, 2020
Certification dateJune 16, 2020

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