Provider Demographics
NPI:1962679514
Name:COLLABORATIVE SOLUTIONS BY DR. NIKKI KEEFER & ASSOC., INC.
Entity Type:Organization
Organization Name:COLLABORATIVE SOLUTIONS BY DR. NIKKI KEEFER & ASSOC., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, BEHAVIOR ANALYST
Authorized Official - Prefix:DR
Authorized Official - First Name:NIKKI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KEEFER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, BCBA
Authorized Official - Phone:407-489-2121
Mailing Address - Street 1:4541 ALRIX DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-3160
Mailing Address - Country:US
Mailing Address - Phone:407-489-2121
Mailing Address - Fax:407-382-2458
Practice Address - Street 1:4541 ALRIX DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32839-3160
Practice Address - Country:US
Practice Address - Phone:407-489-2121
Practice Address - Fax:407-382-2458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-01-0516251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health