Individual
MS. ELIZABETH NICOLE KEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
121 COVINGTON AVE APT 9, THOMASVILLE, GA 31792
(229) 289-5379
Mailing address
175 MIDDLE ST UNIT 1201, LAKE MARY, FL 32746-3625
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/22/2015
Last updated
05/18/2018
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