Keneisha Ennis
Behavior Analyst in Jamaica, NY. Individual provider (NPI-1).
NPI number1306200241
StatusActive
Last updated in NPPESApr 6, 2016
Details
- NPI
- 1306200241
- Entity type
- Individual (NPI-1)
- Name
- Keneisha Ennis
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 6, 2016
- Last updated
- Apr 6, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
15010 107th AveJamaica, NY 11433-1902
Phone 917-376-2340
Mailing address
15010 107th AveJamaica, NY 11433-1902
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