Individual
BETH KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
157 CHURCH ST, 19TH FLOOR, NEW HAVEN, CT 06510-2100
(888) 261-1110
(866) 696-7991
Mailing address
157 CHURCH ST, 19TH FLOOR, NEW HAVEN, CT 06510-2100
(888) 261-1110
(866) 696-7991
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23983
CT
Other
Enumeration date
01/31/2017
Last updated
02/10/2017
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