Provider Demographics
NPI:1851894554
Name:DANN, JENNIFER O'KEEFE (MA, MED, BCBA, LABA)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:O'KEEFE
Last Name:DANN
Suffix:
Gender:F
Credentials:MA, MED, BCBA, LABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 WARD AVE
Mailing Address - Street 2:
Mailing Address - City:EASTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027-2249
Mailing Address - Country:US
Mailing Address - Phone:505-629-8199
Mailing Address - Fax:
Practice Address - Street 1:34 WARD AVE
Practice Address - Street 2:
Practice Address - City:EASTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027-2249
Practice Address - Country:US
Practice Address - Phone:505-629-8199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-09
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2771-MH-B1103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst