Kennedy, Krystal

Kennedy, Krystal is an sole proprietor health care provider with primary practice located at 514 S Willow Ave , Cookeville TN 38501-3727. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Kennedy, Krystal can be contacted via phone (931) 252-1274.

Contact Information

Primary practice address
514 S Willow Ave Cookeville TN 38501-3727
Phone: (931) 252-1274
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 11520978 Tennessee

Profile Details

NPI number 1316304181
LBN Legal business name Kennedy, Krystal
Credentials BCBA-D, LBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2016
Last updated Jan 29th, 2026 - about 9 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316304181 NPPES
Tennessee Other 1-15-20978 BCBA CERTIFICATION #
Tennessee Other 777 BCBA CERTIFICATION #

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