Individual
MRS. KENNEDY JONAE AUTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1504 HOLLY GROVE WAY, DURHAM, NC 27713-4523
(804) 933-4173
Mailing address
314 LAUREL OAKS DR, YOUNGSVILLE, NC 27596-2099
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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