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Organization
KEOUGH APPLIED BEHAVIOR ANALYSIS AND MANAGEMENT, LLC
Active
Organization
KEOUGH APPLIED BEHAVIOR ANALYSIS AND MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY JANE KEOUGH M.A., BCBA (OWNER)
(949) 813-6096
Entity
Organization
Contact information
Practice address
601 VAN NESS AVE APT 309, SAN FRANCISCO, CA 94102-3251
(949) 813-6096
Mailing address
601 VAN NESS AVE APT 309, SAN FRANCISCO, CA 94102-3251
(949) 813-6096
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13322
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407196694
INDIVIDUAL NPI
CA
Enumeration date
04/12/2017
Last updated
04/12/2017
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