Individual
MR. CHRISTOPHER DEGRAFFENRIED KEENAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1505 BLANDING ST, COLUMBIA, SC 29201-2906
(803) 929-0011
(803) 569-1054
Mailing address
PO BOX 7514, COLUMBIA, SC 29202-7514
(803) 929-0011
(803) 569-1054
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-21983
—
Other
Enumeration date
03/31/2016
Last updated
04/30/2017
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