Individual
KEANA CORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
945 N CENTRAL AVE, WOODMERE, NY 11598-1604
(516) 206-8900
Mailing address
795 W NOVA PL, CASA GRANDE, AZ 85122-6681
(480) 720-1738
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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