Individual
DOUGLAS MCKEOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCABA, LABA
Contact information
Practice address
1630 BRAEBURN DR, SALEM, VA 24153-7371
(540) 588-9582
Mailing address
3706 YELLOW MOUNTAIN RD SE, ROANOKE, VA 24014-6440
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0134000179
VA
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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