Individual
KENNEDY RYAN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, MA, LBA
Contact information
Practice address
564 SOUTH ST, HONOLULU, HI 96813-5013
(808) 591-1173
Mailing address
801 SOUTH ST APT 1808, HONOLULU, HI 96813-5925
(808) 295-3305
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-621
HI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/11/2016
Last updated
12/30/2021
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