Kennedy Evans

Behavior Technician · Boardman, OH

Individual Active NPI

NPI number 1063107498

Practice location

5500 Market St Ste 119
Boardman, OH 44512-2616
Phone
(330) 991-9117

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NPI record

NPI
1063107498
Entity type
Individual (Type 1)
Enumeration date
April 11, 2023
Last updated
April 11, 2023
Certified
April 11, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X RBT-23-265859 OH

About Kennedy Evans

Kennedy Evans is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 5500 Market St Ste 119, Boardman, OH 44512-2616. The NPI number 1063107498 was assigned on April 11, 2023 and the record was last updated on April 11, 2023.

Kennedy Evans lists a license in the registry: #RBT-23-265859 (OH) for Behavior Technician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kennedy Evans?

The NPI number is 1063107498.

What is the phone number of Kennedy Evans?

The phone number listed for the practice location is (330) 991-9117.

Where is Kennedy Evans located?

5500 Market St Ste 119, Boardman, OH 44512-2616.

What is the taxonomy code for Kennedy Evans?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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