Individual
MS. KENDALL ELIZABETH KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5085 W PARK BLVD STE 400, PLANO, TX 75093-2592
(469) 277-6050
Mailing address
1601 S MOPAC EXPRESSWAY, SUITE C-300, AUSTIN, TX 78746-7009
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33374
TX
106S00000X
Behavior Technician
RBT-16-18713
TX
Other
Enumeration date
05/23/2018
Last updated
06/15/2021
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