Individual
JESSICA KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
258 MAIN ST STE C3, BUZZARDS BAY, MA 02532-3253
(508) 333-1375
Mailing address
38 HARRISON AVE, BUZZARDS BAY, MA 02532-3214
(702) 418-2942
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/20/2023
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