Healthcare Provider Details

I. General information

NPI: 1881996833
Provider Name (Legal Business Name): CHRISTOPHER GERARD KEELEY BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/24/2010
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1061 RIKER ST UNIT 7
SALINAS CA
93901-4622
US

IV. Provider business mailing address

1061 RIKER ST UNIT 7
SALINAS CA
93901-4622
US

V. Phone/Fax

Practice location:
  • Phone: 352-792-3136
  • Fax:
Mailing address:
  • Phone: 352-792-3136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: