Individual
SANDRA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 BUXTON FARM RD, STAMFORD, CT 06905-1224
(203) 674-8200
Mailing address
213 COACHLIGHT SQ, MONTROSE, NY 10548-1252
(914) 261-0254
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26472
—
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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