Healthcare Provider Details

I. General information

NPI: 1194490284
Provider Name (Legal Business Name): AVERY KEEFE BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2021
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 MANOR HILL RD
FINDLAY OH
45840-6600
US

IV. Provider business mailing address

1710 MANOR HILL RD
FINDLAY OH
45840-6600
US

V. Phone/Fax

Practice location:
  • Phone: 419-615-1114
  • Fax: 567-429-2041
Mailing address:
  • Phone: 419-615-1114
  • Fax: 567-429-2041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-88346
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: