Individual
MRS. KATHRYN MARIE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
119 EWELL CT, SUMMERVILLE, SC 29486-1961
(843) 494-2087
Mailing address
119 EWELL CT, SUMMERVILLE, SC 29486-1961
(843) 494-2087
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/23/2017
Last updated
07/21/2022
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