Mrs Jackie S Keith, EDD, LPA, BCBA-D is a
Behavior Analyst based in Forest, Texas. Mrs Jackie S Keith is licensed to practice in Texas (license number 1612) and her current practice location is
440 Fm 1247, Forest, Texas. She can be reached at her office (for appointments etc.) via phone at
(936) 676-5866.
NPI number for Mrs Jackie S Keith is 1558848820 and her current mailing address is 440 Fm 1247, Forest, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558848820.
Healthcare Provider's Profile
Full Name | Mrs Jackie S Keith |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 440 Fm 1247, Forest, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558848820
- Provider Enumeration Date: 07/19/2018
- Last Update Date: 07/19/2018
Medical Identifiers
Medical identifiers for Mrs Jackie S Keith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558848820 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 34214 (Texas) | Secondary |
103K00000X | Behavior Analyst | 1612 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jackie S Keith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Jackie S Keith, EDD, LPA, BCBA-D 440 Fm 1247, Forest, TX 75925 Ph: (936) 676-5866 | Mrs Jackie S Keith, EDD, LPA, BCBA-D 440 Fm 1247, Forest, TX 75925 Ph: (936) 676-5866 |
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