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NPI Code Detail

MEDICARE: SEAN MCKEEL

MEDICARE: SEAN MCKEEL
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 Analyst
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1730952334
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN MCKEEL
Provider Business Mailing Address
First Line : 3500 DEPAUW BLVD STE 3070
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-6135
Country : US
Telephone Number : 855-324-0885
Fax Number : 317-520-8200
Provider Business Practice Location Address
First Line : 1026 PATHFINDER WAY
Second Line :
City : ROCKLEDGE
State : FL
Zip : 32955-3216
Country : US
Telephone Number : 321-655-5880
Fax Number : 317-520-8200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2023
Last Update Date : 01/08/2026

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Directions to “ SEAN MCKEEL ” Practice Location

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