Individual
MRS. JENNIFER LYNN KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
617 FRANKLIN AVE STE 12, BERLIN, MD 21811-1358
(302) 604-2424
(302) 348-8121
Mailing address
617 FRANKLIN AVE STE 12, BERLIN, MD 21811-1358
(302) 604-2424
(302) 348-8121
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA1617
MD
106S00000X
Behavior Technician
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
483106300
—
MD
Enumeration date
09/18/2018
Last updated
10/05/2023
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