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Organization
THE KENNEDY COLLECTIVE, INC.
Active
Organization
THE KENNEDY COLLECTIVE, INC.
Active
Parent organization
THE KENNEDY COLLECTIVE, INC.
Other names
Behavioral Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE KENNEDY COLLECTIVE, INC.
Authorized official
RICHARD SEBASTIAN (PRESIDENT AND CEO)
(203) 365-8522
Entity
Organization
Contact information
Practice address
2440 RESERVOIR AVE, TRUMBULL, CT 06611-4757
(203) 365-8522
Mailing address
2440 RESERVOIR AVE, TRUMBULL, CT 06611-4757
(203) 365-8522
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004186054
—
CT
Enumeration date
03/12/2019
Last updated
03/28/2024
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