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NPI Profile for JACKIE S KEITH in FOREST, TX.
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master?s degree and clinical experience and supervision for licensure or certification.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Counselor |
101Y00000X | |||
Behavior Analyst |
103K00000X | |||
Psychologist |
103T00000X | 62 | Psychologist, Clinical |
| NPI # | 1558848820 |
|
| Status | Active | |
| Credentials | ED.D, LPA, BCBA-D | |
| Entity | Individual | |
| Enumeration date | 07/19/2018 | |
| Last updated | 01/31/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JACKIE S KEITH
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JACKIE S KEITH, ED.D, LPA, BCBA-D