Individual
KERI ASHTON KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13101 BRUCE B DOWNS BLVD, TAMPA, FL 33612-3803
(813) 821-8038
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-181109
—
106S00000X
Behavior Technician
—
TN
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129850200
—
FL
Enumeration date
08/20/2021
Last updated
02/06/2026
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