IndividualActive
Marissa Keo
NPI 1003643974 · Behavior Technician · Lake Bluff, IL
Marissa Keo is a Behavior Technician provider in Lake Bluff, IL (NPI 1003643974).
Provider details
- NPI number
- 1003643974
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
917 Sherwood Dr Ste 201
Lake Bluff, IL 60044-2235
Phone: (877) 486-4140
Street-level locationGet directions
Mailing address
39218 N Stockton Ln
Beach Park, IL 60083-3011
Registry dates
- Enumerated
- 2024-09-16
- Last updated
- 2024-09-16
- Certified
- 2024-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.