Individual
KELLY MARIE OKEEFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 RACQUET CLUB DR APT H, LOS BANOS, CA 93635-3859
(209) 675-4263
Mailing address
1501 RACQUET CLUB DR APT H, LOS BANOS, CA 93635-3859
(209) 675-4263
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
CA
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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