Individual
EMILEE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
146 S THOMAS ST, SUITE E, TUPELO, MS 38801-5328
(662) 840-0974
Mailing address
545 WALNUT ST, TUPELO, MS 38804
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-15-03501
MS
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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