Individual
MS. HEATHER F KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37 RENWICK AVE, KINGS PARK, NY 11754-3708
(631) 560-7109
Mailing address
37 RENWICK AVE, KINGS PARK, NY 11754-3708
(631) 560-7109
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
171W00000X
Contractor
1865796
NY
Other
Enumeration date
10/20/2010
Last updated
07/08/2022
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