Individual
BRIANA RENEE KEAVENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 MIDDLETON ST, BEAUFORT, SC 29902-5358
(843) 379-3444
Mailing address
3019 MONTEZUMA ST APT C, BARSTOW, CA 92311-7923
(586) 909-2090
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-377278
SC
Other
Enumeration date
05/10/2022
Last updated
09/11/2024
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