Individual
CALLIE KENNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8500 WASHINGTON ST NE, STE A1, ALBUQUERQUE, NM 87113-1846
(505) 828-3837
Mailing address
8500 WASHINGTON ST NE, STE A1, ALBUQUERQUE, NM 87113-1846
(505) 828-3837
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-40147
NM
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/16/2017
Last updated
01/09/2020
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