Individual
CAMERON KERNIZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
182 WESTERN AVE APT 2, LYNN, MA 01904-2740
(781) 333-0599
Mailing address
182 WESTERN AVE APT 2, LYNN, MA 01904-2740
(781) 333-0599
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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