Wyatt Triston Kennedy

NPI #1588294250 in Rowlett, Texas

Provider Information

NPI Number
1588294250
Entity Type
Individual
Name
Wyatt Triston Kennedy
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Jan 22, 2020
Last Updated
Jan 22, 2020

Practice Location

Address
5700 ROWLETT RD STE 145
State
Texas
ZIP Code
75089-7927
Phone
(972) 343-8002

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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