Provider Demographics
NPI:1053800326
Name:KEENE, CHRISTOPHER SCOTT (PHD, BCBA, LBA)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:SCOTT
Last Name:KEENE
Suffix:
Gender:M
Credentials:PHD, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1040
Mailing Address - Street 2:
Mailing Address - City:WHITE RIVER JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05001-1040
Mailing Address - Country:US
Mailing Address - Phone:802-698-0200
Mailing Address - Fax:802-698-0199
Practice Address - Street 1:KEENE PERSPECTIVES, PLLC
Practice Address - Street 2:91 FARMVU DR
Practice Address - City:WHITE RIVER JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05001-1040
Practice Address - Country:US
Practice Address - Phone:802-698-0200
Practice Address - Fax:802-698-0199
Is Sole Proprietor?:No
Enumeration Date:2018-05-02
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT146.0134113103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst