Most Relevant Information
Provider Data
NPI Number: | 1003551904 |
Provider Name: | OLIVIA COOPER KELLER BCBA |
Entity Type: | Individual |
Taxonomy Code: | 103K00000X |
Specialty: | Behavior Analyst |
License Number: | 1-21-50117 |
Most Important Dates
Enumeration Date: | 05/04/2022 |
Last Updated: | 05/04/2022 |
Provider Practice Location
14701 CUMBERLAND RD STE 200
NOBLESVILLE
IN
460603098
Practice Location Phone/Fax
Phone: | 7657486209 |
Fax: |
Provider Mailing Location
13629 MAPLELEAF CIR
FISHERS
IN
460388525
Provider Mailing Phone/Fax
Phone: | 7657486209 |
Fax: |