Individual
MEGAN JEANE KEYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
10781 E CHERRY BEND RD, TRAVERSE CITY, MI 49684-5249
(231) 268-0007
(231) 525-3170
Mailing address
1046 S WEST SILVER LAKE RD, TRAVERSE CITY, MI 49685-8656
(231) 590-3376
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53434
—
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
0-19-9726
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-19-9726
BACB
—
01
—
1-21-53434
BACB
—
01
—
7401001602
LARA
MI
01
—
7402000018
LARA
MI
Enumeration date
08/19/2015
Last updated
02/10/2026
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