Individual
JENNA KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5801 MOUNT PLEASANT LN, BELLEVILLE, IL 62223-3944
(618) 489-5102
Mailing address
5801 MOUNT PLEASANT LN, BELLEVILLE, IL 62223-3944
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
07/15/2025
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