Individual
BREYONNA KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4653 E MAIN ST, WHITEHALL, OH 43213-3298
(614) 384-7798
(614) 384-7703
Mailing address
4653 E MAIN ST, WHITEHALL, OH 43213-3298
(614) 384-7798
(614) 384-7703
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/07/2020
Last updated
07/18/2022
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