Individual
KATHERINE O'KEEFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N JACKSON ST STE 203, MEDIA, PA 19063-2574
(484) 444-2285
Mailing address
1001 BRIGGS RD STE 280, MOUNT LAUREL, NJ 08054-4104
(732) 779-1871
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-18-66505
BACB REGISTRATION NUMBER
—
Enumeration date
03/03/2019
Last updated
09/20/2023
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