Individual
MR. KEITH MWAYE EKWESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 SHOSHONE CIR, KATHLEEN, GA 31047-5319
(320) 237-6466
(320) 237-6466
Mailing address
102 SHOSHONE CIR, KATHLEEN, GA 31047-5319
(320) 237-6466
(320) 237-6466
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BCBA1318147
GA
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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