Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kennedy Van Dam

Individual provider Behavior Technician · NPI 1124982723

Kennedy Van Dam is a Behavior Technician in Taylorsville, Utah. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

5558 S 1900 W
Taylorsville, UT 84129-9007
Phone: (801) 255-5131
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1124982723
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 10, 2025
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025
Mailing address6013 S Redwood Rd, Taylorsville, UT 84123-5220

Other providers in Taylorsville