Keelan Victor
Day Training/Habilitation Specialist in Blackwood, New Jersey
1326541582- Practice location
- 210 S Black Horse Pike, Blackwood, NJ 08012-2955
- Phone
- 856-542-8929
- Fax
- —
- Last updated
- July 30, 2020
Keelan Victor is a Day Training/Habilitation Specialist based in Blackwood, NJ. Keelan Victor practices in Blackwood, NJ. The NPI Number for Keelan Victor is 1326541582. The current practice location address for Keelan Victor is 210 S Black Horse Pike, Blackwood, NJ 08012-2955 and can be reached out via phone at 856-542-8929.
Provider Profile Details
- NPI Number
- 1326541582
- Provider Name
- Keelan Victor
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 210 S Black Horse Pike, Blackwood, NJ 08012-2955
- Phone Number
- 856-542-8929
- Primary Taxonomy
- Day Training/Habilitation Specialist · 373H00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 14, 2018
- Last Update Date
- July 30, 2020
- Certification Date
- July 30, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 210 S Black Horse Pike
Blackwood, NJ 08012-2955 - City
- Blackwood
- State
- New Jersey
- Zip
- 08012-2955
- Phone Number
- 856-542-8929
Provider Business Mailing Address Details
- Address
- 590 Lower Landing RD Apt 13B
Blackwood, NJ 08012-4215 - City
- Blackwood
- State
- NJ
- Zip
- 08012-4215
- Phone Number
- 856-542-8929
License Information
- Taxonomy (1)
- Day Training/Habilitation Specialist · 373H00000X · Primary
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Day Training/Habilitation Specialists near Blackwood, NJ
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Frequently Asked Questions
What is the NPI number of Keelan Victor?
The NPI number of Keelan Victor is 1326541582. It was assigned on March 14, 2018 and is currently active in the NPPES registry.
What is the specialty of Keelan Victor?
Keelan Victor is registered under the primary taxonomy Day Training/Habilitation Specialist (code 373H00000X).
Where does Keelan Victor practice?
The practice location is 210 S Black Horse Pike, Blackwood, NJ 08012-2955. The office can be reached at 856-542-8929 (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 1326541582 directly on the NPPES registry website.