Active NPIIndividual provider

Mrs. Elizabeth A Keller, MA BCBA

Behavior Analyst in Bethel, Connecticut

NPI Number1215312780
Practice location
56 Maple Avenue Ext, Bethel, CT 06801-1535
Fax
—
Last updated
July 27, 2015

Elizabeth Anne Keller is a Behavior Analyst based in Bethel, CT. Elizabeth Anne Keller practices in Bethel, CT and has the professional credentials of MA BCBA. The NPI Number for Elizabeth Anne Keller is 1215312780 and holds a License No. 1-15-18051 (CT). The current practice location address for Elizabeth Anne Keller is 56 Maple Avenue Ext, Bethel, CT 06801-1535 and can be reached out via phone at 860-946-0362.

Provider Profile Details

NPI Number
1215312780
Provider Name
Elizabeth Anne Keller
Credential
MA BCBA
Provider Entity Type
Individual
Gender
Female
Address
56 Maple Avenue Ext, Bethel, CT 06801-1535
Phone Number
860-946-0362
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
July 27, 2015
Last Update Date
July 27, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
56 Maple Avenue Ext
Bethel, CT 06801-1535
City
Bethel
Zip
06801-1535
Phone Number
860-946-0362
Bethel, CT 06801Get directions →

Provider Business Mailing Address Details

Address
56 Maple Avenue Ext
Bethel, CT 06801-1535
City
Bethel
State
CT
Zip
06801-1535
Phone Number
860-946-0362

License Information

License Number
1-15-18051
License State
CT
Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Elizabeth A Keller, MA BCBA?

The NPI number of Mrs. Elizabeth A Keller, MA BCBA is 1215312780. It was assigned on July 27, 2015 and is currently active in the NPPES registry.

What is the specialty of Mrs. Elizabeth A Keller, MA BCBA?

Mrs. Elizabeth A Keller, MA BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in CT under license number 1-15-18051.

Where does Mrs. Elizabeth A Keller, MA BCBA practice?

The practice location is 56 Maple Avenue Ext, Bethel, CT 06801-1535. The office can be reached at 860-946-0362 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215312780 directly on the NPPES registry website.

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