Individual
MARISSA NICOLE KEIGHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MILTON ST, NORTH PROVIDENCE, RI 02911-3119
(401) 320-0034
Mailing address
1 MILTON ST, NORTH PROVIDENCE, RI 02911-3119
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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