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General NPI Number Information
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NPI Number | 1376173013
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Entity Type | Individual
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Provider Name | HALEY ERIN KEENEN BCBA
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Gender | Female
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Dates
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Enumeration Date | 01/22/2020
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 2000 TOWER OAKS BLVD FL 5
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City | ROCKVILLE
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State | MD
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Zip | 20852-4282
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Country | US
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Telephone | 240-664-2301
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Fax |
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Provider Business Mailing Address
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Address Line | 61174 GEARY DR
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City | BEND
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State | OR
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Zip | 97702-2919
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Country | US
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Telephone | 281-825-9920
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-19-40463
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 0133003605
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | LBA1848
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 3233
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License Number State | TX
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