Diane Carol Keuler

Individual provider Active NPI Behavior Technician · New Freedom, PA

NPI 1174063945 · NPPES record last updated Feb 27, 2017

Key facts

NPI
1174063945
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
2542 Bailey Ave
New Freedom, PA 17349-9253
Phone
(717) 880-6864
NPI assigned
Feb 27, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

2542 Bailey Ave
New Freedom, PA 17349-9253

Mailing address

2542 Bailey Ave
New Freedom, PA 17349-9253
Phone (717) 880-6864

Other providers in New Freedom, PA

All providers in New Freedom, PA · Behavior Technician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.