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Jacob Keaton
Psychiatric/Mental Health Registered Nurse in Lewisburg, West Virginia
NPI 1164048229

Jacob Keaton is a Psychiatric/Mental Health Registered Nurse based in Lewisburg, WV and is specialized in Psychiatric/Mental Health. Jacob Keaton practices in Lewisburg, WV. The NPI Number for Jacob Keaton is 1164048229 and holds a License No. (West Virginia).

The current practice location address for Jacob Keaton is 348 Northridge Dr, Lewisburg, WV and can be reached out via phone at 304-661-3825. You can also correspond with Jacob Keaton through the mailing address at 962 COFFMAN CEMETERY RD, LEWISBURG, WV - 24901-5629 (mailing address contact number: 304-661-3825).

Location: 348 Northridge Dr, Lewisburg, WV, 24901-5629
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164048229
Provider Name
Jacob Keaton
Credential
Provider Entity Type
Individual
Gender
Male
Address
348 Northridge Dr, Lewisburg, WV, 24901-5629
Phone Number
304-661-3825
Fax Number
Provider Enumeration Date
06/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
348 Northridge Dr
City
Lewisburg
State
West Virginia
Zip
24901-0010
Phone Number
304-661-3825
Fax Number
person
Provider Business Mailing Address Details
Address
348 Northridge Dr
City
Lewisburg
State
West Virginia
Zip
24901-0010
Phone Number
304-661-3825
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Assistant Behavior Analyst
Speciality
-
Taxonomy
106E00000X
License No.
164W00000X (West Virginia)
Definition
An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Day Training/Habilitation Specialist
Speciality
-
Taxonomy
373H00000X
License No.
()
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
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