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Individual

MRS. DANIELLE ELISABETH KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., BCBA

Contact information

Practice address
56 MAPLE AVENUE EXT, BETHEL, CT 06801-1535
(860) 946-0362
Mailing address
56 MAPLE AVENUE EXT, BETHEL, CT 06801-1535
(860) 946-0362

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24172
CT

Other

Enumeration date
01/08/2017
Last updated
01/08/2017
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