Individual
MRS. ANNE MARIE KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MIT, M.ED, BCBA
Contact information
Practice address
314 RIVER HEIGHTS RD, CENTRALIA, WA 98531-8830
(360) 259-4830
Mailing address
314 RIVER HEIGHTS RD, CENTRALIA, WA 98531-8830
(360) 259-4830
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13185
WA
Other
Enumeration date
04/02/2013
Last updated
02/03/2017
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