Individual
ASHLEY HENNESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ABA
Contact information
Practice address
453 KING ST, COCOA, FL 32922-7621
(321) 633-5511
Mailing address
453 KING ST, COCOA, FL 32922-7621
(321) 633-5511
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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