Susan Andrea Kennedy Fyfe

NPI #1073281515 in Mt Juliet, Tennessee

Provider Information

NPI Number: 1073281515
Entity Type: Individual
Name: Susan Andrea Kennedy Fyfe
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 31, 2021
Last Updated: Aug 31, 2021

Practice Location

Address: 1535 N MOUNT JULIET RD
City: Mt Juliet
State: Tennessee
ZIP Code: 37122-3315
Phone: (503) 708-2807

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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