Kennedy, John

Kennedy, John is an sole proprietor health care provider with primary practice located at 2000 2Nd Ave S Apt 353 , Birmingham AL 35233-2077. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Kennedy, John can be contacted via phone (508) 971-2140.

Contact Information

Primary practice address
2000 2Nd Ave S Apt 353 Birmingham AL 35233-2077
Phone: (508) 971-2140
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 2024-001 Alabama

Profile Details

NPI number 1588094601
LBN Legal business name Kennedy, John
Credentials BCBA, LABA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2013
Last updated Jan 22nd, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1588094601 NPPES
Massachusetts MEDICAID 110026265

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