Individual
KENNEDY PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1817 N 7TH ST, PHOENIX, AZ 85006-2100
(602) 257-3755
Mailing address
7711 N 51ST AVE APT 3096, GLENDALE, AZ 85301-1460
(623) 606-0557
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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