Individual
ANNA KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
51960 GUMWOOD RD, GRANGER, IN 46530-6207
(574) 289-4831
Mailing address
2505 E JEFFERSON BLVD, SOUTH BEND, IN 46615-2635
(574) 289-4831
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-324678
IN
106S00000X
Behavior Technician
Primary
RBT-26-539582
IN
Other
Enumeration date
05/30/2024
Last updated
07/14/2026
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