Individual
CORI KEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
8902 VINCENNES CIR STE G, INDIANAPOLIS, IN 46268-3019
(317) 648-9509
Mailing address
8902 VINCENNES CIR STE G, INDIANAPOLIS, IN 46268-3019
(317) 648-9509
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-50509
IN
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-21-50509
BCBA SUPERVISORY CERTIFICATION
IN
Enumeration date
02/19/2018
Last updated
03/11/2026
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