Individual
JESSICA KEENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
19056 HENRY DR, MOKENA, IL 60448-9302
(708) 955-5751
Mailing address
1103 MOUNTAIN VIEW DR, JOLIET, IL 60432-0758
(815) 651-1117
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-34422
IL
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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