Kimberley S Keough
Behavior Technician in Rincon, GA. Individual provider (NPI-1).
NPI number1174243166
StatusActive
Last updated in NPPESAug 30, 2022
Details
- NPI
- 1174243166
- Entity type
- Individual (NPI-1)
- Name
- Kimberley S Keough
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2022
- Certification date
- Aug 30, 2022
- Last updated
- Aug 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
800 Towne Park DrRincon, GA 31326-5156
Phone 912-556-0101
Mailing address
800 Towne Park DrRincon, GA 31326-5156
Phone 912-556-0101
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All 59 Behavior Technician providers in Rincon · All 394 providers in Rincon
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