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:
Health care specialties
| Specialty | Code | License # | 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 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588094601 | NPPES |
| Massachusetts | MEDICAID | 110026265 |
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