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General NPI Number Information
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NPI Number | 1760338198
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Entity Type | Individual
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Provider Name | JULIE ANNE KELLER I M.ED., LBS, BCBA
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Gender | Female
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 307 EXTON CMNS
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City | EXTON
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State | PA
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Zip | 19341-2450
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Country | US
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Telephone | 610-405-8797
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Fax |
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Provider Business Mailing Address
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Address Line | 231 ROOSEVELT AVE
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-2995
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Country | US
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Telephone | 610-405-8797
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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 | 1-26-88003
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License Number State | PA
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