Individual
MR. THOMAS RICHARD JAMES KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., BCBA, LBA
Contact information
Practice address
2549 JOLLY RD STE 380, OKEMOS, MI 48864-3680
(231) 688-4909
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 244-1818
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MI
103K00000X
Behavior Analyst
Primary
—
MI
106S00000X
Behavior Technician
—
MI
Other
Enumeration date
01/28/2022
Last updated
02/18/2026
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