Provider Demographics
NPI:1225479157
Name:LAWLER SABAINI, KEELY DEANNA (BCBA, MS)
Entity Type:Individual
Prefix:MRS
First Name:KEELY
Middle Name:DEANNA
Last Name:LAWLER SABAINI
Suffix:
Gender:F
Credentials:BCBA, MS
Other - Prefix:MRS
Other - First Name:KEELY
Other - Middle Name:DEANNA
Other - Last Name:LAWLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:418 E ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:IL
Mailing Address - Zip Code:62269-1423
Mailing Address - Country:US
Mailing Address - Phone:618-781-0720
Mailing Address - Fax:
Practice Address - Street 1:418 E ADAMS ST
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:IL
Practice Address - Zip Code:62269-1423
Practice Address - Country:US
Practice Address - Phone:618-781-0720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst