Individual
KIMBERLY ANN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BEHAVIOR ANALYST
Contact information
Practice address
224 BEDFORD ST, HOLLIDAYSBURG, PA 16648-1716
(814) 977-5345
Mailing address
224 BEDFORD ST, HOLLIDAYSBURG, PA 16648-1716
(814) 977-5345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-12848
PA
Other
Enumeration date
03/29/2013
Last updated
03/29/2013
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