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Deactivated NPI 1902348014 Deactivated / Inactive NPI Female Practitioner

Jennifer Marie Keller

Behavior Technician • Ypsilanti, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jennifer Keller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 07, 2016
NPI Deactivation Date December 17, 2018
Total Practice Duration ~2 Years of Practice (2016 – 2018)

Professional Overview & Biography Verified Profile Summary

Jennifer Keller was a registered Behavior Technician practicing in Ypsilanti, MI. Throughout an active medical career spanning 2 years, Jennifer Keller provided care at the practice location at 111 S WALLACE BLVD until profile deactivation on 2018-12-17.

Practice Location & Contact Primary Location

Practice Address

111 S Wallace Blvd

Ypsilanti, MI 481974644

Telephone 7342557466
Associated Practice Facility / Clinic
🏢 Camp Zip Of Michigan Facility NPI 1255993473

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Ypsilanti, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.1 Yrs
Regional Practice Density
330 Specialists

Practicing in Ypsilanti, MI (63826 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Kaylee Brown

Behavior Technician

NPI 1053858936
Paula Alexander

Behavior Technician

NPI 1659893287
Dyshum Robinson

Behavior Technician

NPI 1851892129

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 17, 2018

Record deactivated on December 17, 2018

NPI Profile Active November 07, 2016

NPI status registered as active in NPPES database

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Updated Practice Location November 07, 2016

Registered at 111 S WALLACE BLVD, YPSILANTI, MI 481974644 (Tel: 7342557466)

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Updated Business Mailing Address November 07, 2016

Registered at 10377 WARNER RD, MILAN, MI 481608920 (Tel: 7349040163)

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Provider Name / Credentials Updated November 07, 2016

Recorded as JENNIFER KELLER

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2016

Behavior Technician

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Initial NPI Registration & Enumeration November 07, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902348014
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2016
Last Update: November 07, 2016
Deactivation Date: December 17, 2018

Mailing Address

10377 Warner Rd

Milan, MI 481608920

Phone: 7349040163

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.