Individual
MEGAN NICOLE KENNESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17782 W AMBER RIDGE WAY, GOODYEAR, AZ 85338-1673
(385) 377-0138
Mailing address
17782 W AMBER RIDGE WAY, GOODYEAR, AZ 85338-1673
(385) 377-0138
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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