Ennis, Keneisha

Ennis, Keneisha is an sole proprietor health care provider with primary practice located at 15010 107Th Ave , Jamaica NY 11433-1902. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Ennis, Keneisha can be contacted via phone (917) 376-2340.

Contact Information

Primary practice address
15010 107Th Ave Jamaica NY 11433-1902
Phone: (917) 376-2340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1306200241
LBN Legal business name Ennis, Keneisha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2016
Last updated Apr 6th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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