Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Mary Jane Glisson Keller, EDS, BCBA

Individual provider Behavior Analyst · NPI 1205170313

MS. Mary Jane Glisson Keller, EDS, BCBA is a Behavior Analyst in Carbondale, Illinois. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

1535 Neal Ln
Carbondale, IL 62902-6235
Phone: (618) 527-0736
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1205170313
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDS , BCBA
Sole proprietorYes
NPI enumeratedNovember 15, 2012
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024

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