Individual
MRS. MEREDITH PHELPS KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
673 S MAIN ST, CHESHIRE, CHESHIRE, CT 06410-3149
(860) 912-5217
Mailing address
56 HARRISON AVE, BRANFORD, BRANFORD, CT 06405-3644
(860) 912-5217
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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