Jacob Russell Kenison
Jacob Russell Kenison is a Behavior Technician in Doral, Florida. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
6055 NW 104th Ave Ste 2Doral, FL 33178-4867
Phone: (786) 476-5155
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1871349423 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 25, 2024 |
| Last updated in NPPES | April 25, 2024 |
| Certification date | April 25, 2024 |
| Mailing address | 6055 Nw 104th Ave Ste 2, Doral, FL 33178-4867 |
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