Individual
KRISTEN MARIE KEAVENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
170 PHEASANT RUN STE 110, NEWTOWN, PA 18940-1877
(215) 579-0670
Mailing address
12418 ACADEMY RD, PHILADELPHIA, PA 19154-1929
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH007087
PA
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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