Kellie Lynne Keene

NPI #1013627173 in Mount Dora, Florida

Provider Information

NPI Number: 1013627173
Entity Type: Individual
Name: Kellie Lynne Keene
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 30, 2022
Last Updated: Nov 30, 2022

Practice Location

Address: 17435 US HIGHWAY 441 STE 101
City: Mount Dora
State: Florida
ZIP Code: 32757-6750
Phone: (352) 434-0455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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