Individual
KENNEDY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCABA
Contact information
Practice address
905 W GLEN PARK AVE, GRIFFITH, IN 46319-2028
(219) 501-1729
Mailing address
905 W GLEN PARK AVE, GRIFFITH, IN 46319-2028
(219) 501-1729
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/14/2025
Last updated
09/02/2025
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