Individual
BRIDGET KEOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED, BCBA
Contact information
Practice address
2 WATERVIEW RD APT N10, WEST CHESTER, PA 19380-6364
(484) 343-5089
Mailing address
2 WATERVIEW RD APT N10, WEST CHESTER, PA 19380-6364
(484) 343-5089
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH003592
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
N/A
PA
Enumeration date
04/06/2020
Last updated
04/06/2020
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