Individual
STEPHANIE R KINNAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
835 TEN ROD RD, NORTH KINGSTOWN, RI 02852-4224
(303) 319-0302
Mailing address
835 TEN ROD RD, NORTH KINGSTOWN, RI 02852-4224
(303) 319-0302
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA00029
RI
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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