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Organization

JONATHAN KEEFE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL JONATHAN KEEFE M.ED., BCBA, LBA (BOARD CERTIFIED BEHAVIOR ANALYST)
(859) 539-8116
Entity
Organization

Contact information

Practice address
1035 STRADER DR, SUITE 125, LEXINGTON, KY 40505-4088
(859) 899-9200
Mailing address
3844 PINE RIDGE WAY, LEXINGTON, KY 40514-1770
(859) 539-8116

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
KABALBLBA00214892
KY

Other

Enumeration date
05/08/2015
Last updated
05/08/2015
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