Raven Kennedy
Raven Kennedy is a Behavior Technician in Nampa, Idaho. Licensed in Colorado. Registered with an NPI since 2024.
- Licensed in
- CO
- In the registry since
- 2024
Practice location Address checks out
220 W Georgia AveNampa, ID 83686-2835
Phone: (208) 960-7474
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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 BACB1011374 (CO) |
|---|
Record details
| NPI number | 1770338584 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 23, 2024 |
| Last updated in NPPES | April 23, 2024 |
| Certification date | April 23, 2024 |
| Mailing address | 4493 S Maverick Way, Boise, ID 83709-5428 |
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