Provider Demographics
NPI:1487191417
Name:KEENE PERSPECTIVE, PLLC.
Entity Type:Organization
Organization Name:KEENE PERSPECTIVE, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CORTNEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:KEENE
Authorized Official - Suffix:
Authorized Official - Credentials:MED, CAS, BCBA, LBA
Authorized Official - Phone:802-698-0200
Mailing Address - Street 1:PO BOX 1040
Mailing Address - Street 2:
Mailing Address - City:WHITE RIVER JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05001-1040
Mailing Address - Country:US
Mailing Address - Phone:802-698-0200
Mailing Address - Fax:802-698-0199
Practice Address - Street 1:91 FARMVU DR
Practice Address - Street 2:
Practice Address - City:WHITE RIVER JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05001-2047
Practice Address - Country:US
Practice Address - Phone:802-698-0200
Practice Address - Fax:802-698-0199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-29
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT146.1019722103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty