Individual
KEITH COSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
94-849 LUMIAINA ST UNIT 201, WAIPAHU, HI 96797
(808) 294-7050
Mailing address
16782 VON KARMAN AVE STE 11, IRVINE, CA 92606-2417
(949) 833-2237
(949) 253-4627
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
247000000X
Health Information Technician
—
CA
Other
Enumeration date
09/11/2017
Last updated
10/18/2021
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