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Lisa Monique Keith

Behavior Technician in Raleigh, NC. Individual provider (NPI-1).

NPI number1003607094
StatusActive
Last updated in NPPESMay 16, 2025

Details

NPI
1003607094
Entity type
Individual (NPI-1)
Name
Lisa Monique Keith
Sex
Female
Sole proprietor
No
Enumeration date
May 16, 2025
Certification date
May 16, 2025
Last updated
May 16, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

421 Fayetteville St Ste 1100
Raleigh, NC 27601-3000

Phone 919-987-2000

Mailing address

350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834

Phone 888-880-9244

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