Individual
KENNEDY MILYNN BANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1100 EAGLE RIDGE DR, SCHERERVILLE, IN 46375-2897
(219) 865-5437
Mailing address
314 W 3RD ST, HOBART, IN 46342-4205
(219) 707-2658
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
BCBA1086511
IN
Other
Enumeration date
02/08/2025
Last updated
02/08/2025
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