Individual
MR. EDWARD DEAN KEENAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1555 S HAVANA ST UNIT F-268, AURORA, CO 80012-5004
(855) 832-6727
(772) 675-9100
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
(772) 675-9100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41310
HI
Other
Enumeration date
07/06/2020
Last updated
11/16/2022
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