Keeta Hardy

NPI #1336689355 in The Dalles, Oregon

Provider Information

NPI Number: 1336689355
Entity Type: Individual
Name: Keeta Hardy
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Feb 24, 2017
Last Updated: Feb 24, 2017

Practice Location

Address: 401 E 3RD ST
City: The Dalles
State: Oregon
ZIP Code: 97058-2562
Phone: (541) 298-2101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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