Kavanaugh, Kerry Ann

Kavanaugh, Kerry Ann is an sole proprietor health care provider with primary practice located at 6416 Nw 5Th Way , Fort Lauderdale FL 33309-6112. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Kavanaugh, Kerry Ann can be contacted via phone (888) 754-0398.

Contact Information

Primary practice address
6416 Nw 5Th Way Fort Lauderdale FL 33309-6112
Phone: (888) 754-0398
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-16-16355
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 16-16355 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-16-16355 Florida

Profile Details

NPI number 1861828311
LBN Legal business name Kavanaugh, Kerry Ann
Credentials BA, RBT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2013
Last updated Oct 27th, 2019 - 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.

Request for update

Popular Providers