Individual
KENNEDY CAVINESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1490 S 46TH AVE, YUMA, AZ 85364-4059
(928) 919-1951
Mailing address
1200 CONCORD AVE STE 185, CONCORD, CA 94520-5006
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-20-148347
RBT
—
Enumeration date
02/06/2021
Last updated
09/10/2025
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