Kennen, Marci Lynn
Kennen, Marci Lynn is an individual health care provider with primary practice located at 100 Reserve Rd Ste F300 , Danbury CT 06810-5269. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Kennen, Marci Lynn can be contacted via phone (203) 241-1301.Contact Information
Primary practice address
100 Reserve Rd Ste F300
Danbury CT 06810-5269
Phone: (203) 241-1301
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1114558962 |
|---|---|
| LBN Legal business name | Kennen, Marci Lynn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2020 |
| Last updated | Jan 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114558962 | NPPES |
| Other | 1-19-37579 | BCBA | |
| Other | 895 | BCBA |
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