Kennedy, Wyatt Triston

Kennedy, Wyatt Triston is an sole proprietor health care provider with primary practice located at 5700 Rowlett Rd Ste 145 , Rowlett TX 75089-7927. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Kennedy, Wyatt Triston can be contacted via phone (972) 343-8002.

Contact Information

Primary practice address
5700 Rowlett Rd Ste 145 Rowlett TX 75089-7927
Phone: (972) 343-8002
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1588294250
LBN Legal business name Kennedy, Wyatt Triston
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2020
Last updated Jan 22nd, 2020 - about 6 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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