Individual
MS. KEISHA THOMAS KLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
21635 COBB POND DR, COURTLAND, VA 23837-2196
(863) 837-8007
Mailing address
21635 COBB POND DR, COURTLAND, VA 23837-2196
(863) 837-8007
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0134000156
VA
103K00000X
Behavior Analyst
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
03/11/2011
Last updated
10/10/2024
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