Kenny Pacheco

NPI #1922622323 in Pocasset, Massachusetts

Provider Information

NPI Number: 1922622323
Entity Type: Individual
Name: Kenny Pacheco
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jun 1, 2020
Last Updated: Jun 1, 2020

Practice Location

Address: 4 BARLOWS LANDING RD
City: Pocasset
State: Massachusetts
ZIP Code: 02559-1980
Phone: (508) 563-5767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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