Melissa Louise Keezer
Individual provider Active NPI Behavior Technician · Ogema, MN
NPI 1992279715 · NPPES record last updated Jan 15, 2019
Key facts
- NPI
- 1992279715
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 301 Feather St
Ogema, MN 56569-6902 - Phone
- (218) 983-3011
- Fax
- (218) 983-3002
- NPI assigned
- Jan 15, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Earth Band of Ojibwe - Indian Child Welfare | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
301 Feather St
Ogema, MN 56569-6902
Mailing address
301 Feather St
Ogema, MN 56569-6902
Phone (218) 983-3011
Other providers in Ogema, MN
- Brenda L Hoverson
- Michael Igwe
- Toby Joe Imler Jr.
- Steven W Jensen
- David Emanuel Johnson
- Catherine M Kempner
- Roger Stanley Kilbourn
- Austin Klapperich
- Renee Lafriniere
- Michael J Laroque
All providers in Ogema, MN · Behavior Technician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.