Kennedy, Raven

Kennedy, Raven is an individual health care provider with primary practice located at 220 W Georgia Ave , Nampa ID 83686-2835. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Kennedy, Raven can be contacted via phone (208) 960-7474.

Contact Information

Primary practice address
220 W Georgia Ave Nampa ID 83686-2835
Phone: (208) 960-7474
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X BACB1011374 Colorado

Profile Details

NPI number 1770338584
LBN Legal business name Kennedy, Raven
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2024
Last updated Apr 23rd, 2024 - about last year

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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