Provider Demographics
NPI:1285033951
Name:MCKEE, BETH (BCBA, MSED)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:MCKEE
Suffix:
Gender:F
Credentials:BCBA, MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2458 E JOYCE BLVD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-4519
Mailing Address - Country:US
Mailing Address - Phone:479-871-7994
Mailing Address - Fax:
Practice Address - Street 1:2458 E JOYCE BLVD
Practice Address - Street 2:SUITE 10
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-4519
Practice Address - Country:US
Practice Address - Phone:479-871-7994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-14-16298103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst