Individual
KENNEDY SHONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1260 IROQUOIS AVE, SUITE 306, NAPERVILLE, IL 60563-1689
(630) 210-2357
Mailing address
863 BENEDETTI DR, APT 101, NAPERVILLE, IL 60563-8932
(815) 263-5918
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18350
IL
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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