Individual
ANNE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A, BCBA
Contact information
Practice address
126 PAVILION PKWY, FAYETTEVILLE, GA 30214-4056
(770) 954-8988
(317) 520-8200
Mailing address
442 E 1730 N, OREM, UT 84097-2219
(385) 424-3187
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25307
—
Other
Enumeration date
11/17/2010
Last updated
02/18/2026
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