Lacristal Denise Kennedy

NPI #1619797768 in Bryant, Arkansas

Provider Information

NPI Number: 1619797768
Entity Type: Individual
Name: Lacristal Denise Kennedy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 14, 2024
Last Updated: Oct 14, 2024

Practice Location

Address: 6910 HIGHWAY 5 N
City: Bryant
State: Arkansas
ZIP Code: 72022-7901
Phone: (501) 585-7580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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