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Contact Information

ERICA M KEATHLEY, QBHP
2126 N 1ST. STREET
SUITE F
JACKSONVILLE, AR72076
 Phone: 501-982-5000
 Fax: 501-982-5007
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for ERICA M KEATHLEY · (Female)

NPI # 1649577883
Status Active
Credentials QBHP
Entity Individual
Enumeration date 02/24/2011
Last updated 04/30/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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