Individual
IESHA KEATING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1385 HWY 35 # 284, MIDDLETOWN, NJ 07748-2012
(888) 329-4535
Mailing address
536 W 60TH ST, CHICAGO, IL 60621-3367
(773) 742-9391
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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