Bryson James Keller I
Behavior Analyst in Edgewood, KY. Individual provider (NPI-1).
NPI number1023684792
StatusActive
Last updated in NPPESJun 2, 2021
Details
- NPI
- 1023684792
- Entity type
- Individual (NPI-1)
- Name
- Bryson James Keller I
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2021
- Certification date
- Jun 2, 2021
- Last updated
- Jun 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | KY | Yes |
Practice location
925 Dudley PikeEdgewood, KY 41017-8120
Phone 859-360-3006
Mailing address
2748 Latonia AveCovington, KY 41015-1036
Phone 859-907-0379
Other practice locations
3580 Hargrave Ct
Hebron, KY 41048-6900
Hebron, KY 41048-6900
Phone 859-360-3006
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