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

Ryan Kennedy

Individual provider Behavior Technician · NPI 1083359517

Ryan Kennedy is a Behavior Technician in Pueblo, Colorado. Licensed in Colorado. Registered with an NPI since 2022.

Licensed in
CO
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

4710 Eagleridge Cir Ste 230
Pueblo, CO 81008-2176
Phone: (719) 582-8736
Fax: (719) 434-9767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-25-82484 (CO)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1083359517
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 29, 2022
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025
Mailing address4710 Eagleridge Cir, Pueblo, CO 81008-2176

Other providers in Pueblo