Individual
KENNY JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
466 MAIN ST # LL20, NEW ROCHELLE, NY 10801-6431
(718) 769-2698
Mailing address
45 LINDEN BLVD APT 3B, BROOKLYN, NY 11226-3108
(929) 382-8920
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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