De Kenney, Maria Luz

De Kenney, Maria Luz is an sole proprietor health care provider with primary practice located at 4 Orr Sq , Revere MA 02151-3216. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. De Kenney, Maria Luz can be contacted via phone (857) 261-7494.

Contact Information

Primary practice address
4 Orr Sq Revere MA 02151-3216
Phone: (857) 261-7494
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1669071577
LBN Legal business name De Kenney, Maria Luz
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2020
Last updated Oct 21st, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669071577 NPPES
Massachusetts MEDICAID S60617728

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