Keegan Hart

NPI 1619376803 · on the registry since 2014 · sole proprietor

Practice

Address: 18802 Mandan St
Unit #901
Canyon Country, CA 91351
Phone: (818) 261-5580
Fax: (661) 367-7778
Organisation at this address: Family Model Behavior Therapy
Family Model Behavior Therapy, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 103K00000X
103K00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-01-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California