Individual
KEN KANKIBAHO KABUKURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, BCBA, LBA
Contact information
Practice address
923 CONSTANTINOPLE ST, NEW ORLEANS, LA 70115-2744
(818) 793-9353
Mailing address
350 FAIRWAY DR STE 101, DEERFIELD BEACH, FL 33441-1834
(888) 880-9270
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-713
LA
Other
Enumeration date
12/10/2019
Last updated
07/06/2023
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