Individual
STEPHANIE KENEALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1400 DIXON AVE, LAFAYETTE, CO 80026-2790
(303) 665-7789
Mailing address
1400 DIXON AVE, LAFAYETTE, CO 80026-2790
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-73791
—
Other
Enumeration date
10/02/2024
Last updated
11/06/2024
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