Individual
KEELAN KRISZTINA EGETOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3048 E BASELINE RD STE 101, MESA, AZ 85204-7287
(516) 206-8900
Mailing address
945 N CENTRAL AVE, WOODMERE, NY 11598-1604
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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