Kennedy, Myrna Astraea

Kennedy, Myrna Astraea is an individual health care provider with primary practice located at 8019 Ne 13Th Ave , Vancouver WA 98665-9604. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Kennedy, Myrna Astraea can be contacted via phone (541) 974-5778.

Contact Information

Primary practice address
8019 Ne 13Th Ave Vancouver WA 98665-9604
Phone: (541) 974-5778
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BA61552219 Washington
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X AB61429916 Washington

Profile Details

NPI number 1801321740
LBN Legal business name Kennedy, Myrna Astraea
Credentials MSABA, BCBA, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2017
Last updated Jun 12th, 2024 - about 5 months 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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