Organization
KEYSTONE BEHAVIOR SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE KISHBAUGH BCBA (CLINICAL DIRECTOR)
(570) 852-9217
Entity
Organization
Contact information
Practice address
310 MARKET ST, KINGSTON, PA 18704-5442
(570) 362-2348
(570) 565-0024
Mailing address
334 HIGHLARK DR STE 1, LARKSVILLE, PA 18704-1656
(570) 852-9217
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/13/2020
Last updated
08/16/2023
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