Individual
KEELY NICOLE MAGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-BCBA
Contact information
Practice address
3101 N CANTERBURY CT, BLOOMINGTON, IN 47404-1500
(317) 249-2242
(844) 289-6798
Mailing address
550 CONGRESSIONAL BLVD STE 220, CARMEL, IN 46032-5632
(317) 249-2242
(844) 289-6798
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58247
IN
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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