Individual
MRS. DANICA VERA HERNANDEZ KEEFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED. BCBA
Contact information
Practice address
2505 E JEFFERSON BLVD, SOUTH BEND, IN 46615-2635
(574) 289-4831
Mailing address
2505 E JEFFERSON BLVD, SOUTH BEND, IN 46615-2635
(574) 289-4831
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45324
IN
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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