DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KEITH DRISCOLL, P.HD

Active Sole Proprietor

MR. KEITH DRISCOLL, P.HD is a Behavior Analyst healthcare provider located in CENTRALIA, Illinois. NPI 1073899621 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · CENTRALIA, IL

Registration Details

NPI Number
1073899621
Provider Type
Individual
Gender
Male
NPI Issued
Oct 27, 2011 (14.825888996739 yrs)
Last Updated
Nov 21, 2018
License
601986842 (WA)
Sole Proprietor
Yes

Practice Information

Address
1207 S ELM ST
CENTRALIA, IL, 62801
Browse IL providers · Browse ZIP 62801
Phone
6185799072
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in CENTRALIA, IL

Name Credential NPI
ALICIA MARIE SNYDER BCBA 1013273465
WENDY BARBAN-JOURDAN BEHAVIOR THERAPIST 1710631155
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.