Individual
AMY KENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
930 WILLISTON PARK PT, LAKE MARY, FL 32746-2164
(407) 710-8566
Mailing address
930 WILLISTON PARK PT, LAKE MARY, FL 32746-2164
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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