Christopher John Keck

NPI #1659886620 in Shiloh, Illinois

Provider Information

NPI Number: 1659886620
Entity Type: Individual
Name: Christopher John Keck
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 12, 2017
Last Updated: Dec 12, 2017

Practice Location

Address: 4020 GREEN MOUNT CROSSING DR
City: Shiloh
State: Illinois
ZIP Code: 62269-7287
Phone: (618) 977-6866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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