Individual
MARCI LYNN KENNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 RESERVE RD STE F300, DANBURY, CT 06810-5269
(203) 241-1301
Mailing address
100 RESERVE RD STE F300, DANBURY, CT 06810-5269
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-37579
BCBA
—
01
—
895
LBA
CT
Enumeration date
01/30/2020
Last updated
01/30/2020
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