Ethan Harold Keating
Behavior Technician in Tallahassee, FL. Individual provider (NPI-1).
NPI number1104612902
StatusActive
Last updated in NPPESApr 17, 2025
Details
- NPI
- 1104612902
- Entity type
- Individual (NPI-1)
- Name
- Ethan Harold Keating
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2025
- Certification date
- Apr 17, 2025
- Last updated
- Apr 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2331 Hansen CtTallahassee, FL 32301-4859
Phone 850-320-6555
Mailing address
2331 Hansen CtTallahassee, FL 32301-4859
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