Kennedy Kiasi Hartman

NPI #1497488878 in Manor, Texas

Provider Information

NPI Number: 1497488878
Entity Type: Individual
Name: Kennedy Kiasi Hartman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 5, 2022
Last Updated: Jul 5, 2022

Practice Location

Address: 11617 JACKSON FALLS WAY
City: Manor
State: Texas
ZIP Code: 78653-2133
Phone: (512) 297-6648

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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