Individual
KENNEDY MONELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2549 N STOKESBERRY PL, MERIDIAN, ID 83646-1144
(312) 965-2997
Mailing address
2622 W CAMAS ST, BOISE, ID 83705-2446
(503) 754-8414
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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