Healthcare Provider Details

I. General information

NPI: 1104248004
Provider Name (Legal Business Name): JULIA LOUISE KEENE PHD, BCBA-D, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2014
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 VILLAGE GRN
PATCHOGUE NY
11772-3080
US

IV. Provider business mailing address

2463 BABYLON ST
WANTAGH NY
11793-4503
US

V. Phone/Fax

Practice location:
  • Phone: 516-448-0237
  • Fax:
Mailing address:
  • Phone: 516-448-0237
  • 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: