Individual
AUTUMN A KEENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBA
Contact information
Practice address
9351 W BROAD ST, HENRICO, VA 23294-5437
(804) 596-3275
Mailing address
9351 W BROAD ST, HENRICO, VA 23294-5437
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000517
VA
Other
Enumeration date
12/13/2014
Last updated
09/07/2017
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