Kennedy Danette Holland
Behavior Technician in Conway, AR. Individual provider (NPI-1).
NPI number1174398564
StatusActive
Last updated in NPPESNov 16, 2023
Details
- NPI
- 1174398564
- Entity type
- Individual (NPI-1)
- Name
- Kennedy Danette Holland
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2023
- Certification date
- Nov 16, 2023
- Last updated
- Nov 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | AR | Yes |
Practice location
2740 College AveConway, AR 72034-6141
Phone 501-329-5459
Mailing address
2740 College AveConway, AR 72034-6141
Phone 501-329-5459
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