Individual
AMANDA GRACE KEMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
673 S MAIN ST, CHESHIRE, CT 06410-3149
(203) 271-1430
Mailing address
30 OAK RIDGE DR APT 14, NEW HAVEN, CT 06513-1172
(203) 816-1458
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1497
CT
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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