Individual
MR. KENNETH LLOYD HURST III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 UNION BLVD STE 200, LAKEWOOD, CO 80228-1831
(855) 515-2850
Mailing address
360 CENTRAL AVE STE 800, ST PETERSBURG, FL 33701-3984
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-69048
CO
106S00000X
Behavior Technician
—
CO
Other
Enumeration date
07/14/2023
Last updated
10/26/2023
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