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Individual
KENNEDY MOORE
Active
Individual
KENNEDY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCABA
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/14/2025
Last updated
09/02/2025
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