Kennedy, Audrey
Kennedy, Audrey is an sole proprietor health care provider with primary practice located at 4000 S Yorktown Way , Boise ID 83706-6036. 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, Audrey can be contacted via phone (301) 514-4415.Contact Information
Primary practice address
4000 S Yorktown Way
Boise ID 83706-6036
Phone: (301) 514-4415
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 0133000003 | Virginia |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1598102436 |
|---|---|
| LBN Legal business name | Kennedy, Audrey |
| Credentials | B.C.B.A |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2013 |
| Last updated | Jan 24th, 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.
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