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Individual
KEITH EVERETT BAILEY
Active
Individual
KEITH EVERETT BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-435
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-435
LOUISIANA BEHAVIOR ANALYST CERTIFICATION BOARD
LA
Enumeration date
03/26/2020
Last updated
03/26/2020
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