Mr. Kenneth Michael Puccini
Mr. Kenneth Michael Puccini is a Behavior Technician in Valdosta, Georgia. Licensed in Georgia. Registered with an NPI since 2021.
- Licensed in
- GA
- In the registry since
- 2021
Practice location Address checks out
2704 N Oak St Bldg A1Valdosta, GA 31602-5901
Phone: (229) 474-4384
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence 062116851 (GA) |
|---|
Record details
| NPI number | 1780259234 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 26, 2021 |
| Last updated in NPPES | May 26, 2021 |
| Certification date | May 26, 2021 |
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