Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Keaton

Individual provider Assistant Behavior Analyst · NPI 1164048229

Jacob Keaton is an Assistant Behavior Analyst in Lewisburg, West Virginia. Licensed in West Virginia. Registered with an NPI since 2020.

Licensed in
WV
In the registry since
2020
Specialties on file
3

Practice location Address checks out

348 Northridge Dr
Lewisburg, WV 24901-0010
Phone: (304) 661-3825
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 164W00000X (WV)
Assistant Behavior Analyst Taxonomy 106E00000X
Day Training/Habilitation Specialist Taxonomy 373H00000X

Record details

NPI number1164048229
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 24, 2020
Last updated in NPPESJune 24, 2020
Certification dateJune 24, 2020
Mailing address962 Coffman Cemetery Rd, Lewisburg, WV 24901-5629