Individual
KAILI KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 E BELT LINE RD STE 100, CEDAR HILL, TX 75104-2423
(254) 265-4515
Mailing address
542 AMHERST ST STE B, NASHUA, NH 03063-1016
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4584
TX
103K00000X
Behavior Analyst
—
—
247200000X
Other Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
97034429
—
TX
Enumeration date
09/24/2020
Last updated
07/14/2025
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