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NPI Code Detail

MEDICARE: MEGAN JEANE KEYES BCBA, LBA

MEDICARE:   MEGAN JEANE KEYES  BCBA, LBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-21-53434

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11-21-53434OTHERBACB
27401001602OTHERMILARA

General Provider Information

NPI Number : 1639545148
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN JEANE KEYES BCBA, LBA
Provider Business Mailing Address
First Line : 1046 S WEST SILVER LAKE RD
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49685-8656
Country : US
Telephone Number : 231-590-3376
Fax Number :
Provider Business Practice Location Address
First Line : 10781 E CHERRY BEND RD
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-5249
Country : US
Telephone Number : 231-268-0007
Fax Number : 231-525-3170
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2015
Last Update Date : 02/10/2026

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Directions to “ MEGAN JEANE KEYES BCBA, LBA” Practice Location

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