Organization
SOUTHAMPTON BEHAVIOR THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHA KLINE MA, BCBA, LBA (OWNER)
(863) 837-8007
Entity
Organization
Contact information
Practice address
21635 COBB POND DR, COURTLAND, VA 23837-2196
(863) 837-8007
Mailing address
21635 COBB POND DR, COURTLAND, VA 23837-2196
(863) 837-8007
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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