| Keough Applied Behavior Analysis And Management, Llc | |
|
601 Van Ness Ave Apt 309 San Francisco CA 94102-3251 | |
| (949) 813-6096 | |
| Not Available |
| Full Name | Keough Applied Behavior Analysis And Management, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 601 Van Ness Ave Apt 309, San Francisco, California |
| Authorized Official Name and Position | Emily Jane Keough (OWNER) |
| Authorized Official Contact | 9498136096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keough Applied Behavior Analysis And Management, Llc 601 Van Ness Ave Apt 309 San Francisco CA 94102-3251 Ph: (949) 813-6096 | Keough Applied Behavior Analysis And Management, Llc 601 Van Ness Ave Apt 309 San Francisco CA 94102-3251 Ph: (949) 813-6096 |
| NPI Number | 1841724242 |
|---|---|
| Provider Enumeration Date | 04/12/2017 |
| Last Update Date | 04/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841724242 | NPI | - | NPPES |
| 1407196694 | Other | CA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-13-13322 (California) | Primary |
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