Individual
LISA KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 TENAFLY RD, TENAFLY, NJ 07670-7000
(201) 777-4557
Mailing address
695 PINE LAKE DR, TOWNSHIP OF WASHINGTON, NJ 07676-4821
(201) 280-3719
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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