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Keshawna Nicole Tooley

Behavior Technician in Orange City, FL. Individual provider (NPI-1).

NPI number1982174306
StatusActive
Last updated in NPPESNov 28, 2018

Details

NPI
1982174306
Entity type
Individual (NPI-1)
Name
Keshawna Nicole Tooley
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 28, 2018
Last updated
Nov 28, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1642 N Volusia Ave Ste 201
Orange City, FL 32763-3850

Phone 386-628-0295 · Fax 386-243-4581

Mailing address

1642 N Volusia Ave Ste 201
Orange City, FL 32763-3850

Phone 386-628-0295 · Fax 386-243-4581

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