Individual
COLLEEN M KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 WITHERBEE RD, KELSO, WA 98626-9604
(605) 430-0298
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
WA
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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