MS. MARY JANE GLISSON KELLER ED.S., BCBA
NPI 1205170313
Behavior Analyst in Carbondale, IL

Q: What is Mary Glisson Keller's NPI number?

The NPI number for Mary Glisson Keller is 1205170313. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Q: What is Mary Glisson Keller's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Active since November 15, 2012

1535 NEAL LN, CARBONDALE, IL 62902(618) 527-0736 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Mary Jane Glisson Keller Ed.s., Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARY JANE GLISSON KELLER ED.S., BCBA (NPI 1205170313) is an individual behavior analyst provider in Carbondale, Illinois and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1205170313

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameMS. MARY JANE GLISSON KELLERCredential: ED.S., BCBA

Location Address1535 NEAL LNCarbondale, IL 62902-6235

Mailing Address1535 Neal LnCarbondale, IL 62902-6235 · (618) 527-0736

Phone(618) 527-0736

Sole ProprietorYes

Enumeration DateNovember 15, 2012

Last NPPES UpdateNovember 19, 2024

NPPES CertifiedNovember 19, 2024

✔ NPI 1205170313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

1535 NEAL LN, Carbondale, IL 62902

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Glisson Keller's NPI number?

The NPI number for Mary Glisson Keller is 1205170313. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Where is Mary Glisson Keller located?

Mary Glisson Keller practices at 1535 Neal Ln, Carbondale, IL 62902. The listed phone number is (618) 527-0736.

What is Mary Glisson Keller's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Mary Glisson Keller was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.