Provider Demographics
NPI:1326463043
Name:KEYES, DEANNA (BCBA, LPC)
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:
Last Name:KEYES
Suffix:
Gender:F
Credentials:BCBA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 ROBIN HOOD LN
Mailing Address - Street 2:
Mailing Address - City:ASTON
Mailing Address - State:PA
Mailing Address - Zip Code:19014-1923
Mailing Address - Country:US
Mailing Address - Phone:610-999-8010
Mailing Address - Fax:
Practice Address - Street 1:213 ROBIN HOOD LN
Practice Address - Street 2:
Practice Address - City:ASTON
Practice Address - State:PA
Practice Address - Zip Code:19014-1923
Practice Address - Country:US
Practice Address - Phone:610-999-8010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-04
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-14-9631103K00000X
PAPC007903101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst