Individual
KENNY RAY WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4009 MANCINI RD, SPARTANBURG, SC 29307-3866
(864) 410-6500
Mailing address
4009 MANCINI RD, SPARTANBURG, SC 29307-3866
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
SC
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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