Individual
KEENAN MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, M.ED.
Contact information
Practice address
7090 SAMUEL MORSE DR, COLUMBIA, MD 21046-3442
(855) 935-3691
Mailing address
7090 SAMUEL MORSE DR, COLUMBIA, MD 21046-3442
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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